Indian Journal of Dermatology
IJD SYMPOSIUM
Year
: 2021  |  Volume : 66  |  Issue : 1  |  Page : 24--33

Post kala-azar dermal leishmaniasis: Clinical features and differential diagnosis


Piyush Kumar1, Mitali Chatterjee2, Nilay Kanti Das3 
1 Department of Dermatology, Katihar Medical College, Bihar, India
2 Department of Pharmacology, Institute of Post Graduate Medical Education and Research, Kolkata, West Bengal, India
3 Department of Dermatology, Bankura Sammilani Medical College, Bankura, West Bengal, India

Correspondence Address:
Nilay Kanti Das
Department of Dermatology, Bankura Sammilani Medical College, Bankura, West Bengal
India

Post kala-azar dermal leishmaniasis (PKDL) is a mucocutaneous disease usually seen in apparently cured, inadequately treated or untreated cases of visceral leishmaniasis and is endemic to many parts of India, Nepal, Bangladesh, and eastern Africa (Sudan, Ethiopia, Kenya). The disease usually manifests as a variable combination of hypopigmented patches, erythematous succulent papulo-plaques, and nodular lesions on the face and upper body and sometimes extending on the extremities, genitalia, and tongue. Atypical morphology and presentations are not uncommon, especially in endemic areas, which include photosensitivity, verrucous, hypertrophic, xanthomatous, and ulcerative lesions. Recognition of spectrum of mucocutaneous changes helps physicians in early initiation of treatment and in reducing disease transmission in the community. The differential diagnosis depends on the pattern of manifestations, but lepromatous leprosy is the closest mimicker. Since PKDL does not cause significant morbidity, at least initially, but the affected patients continue to act as a reservoir of the disease, active case detection is required to identify cases early to control the disease transmission in the community.


How to cite this article:
Kumar P, Chatterjee M, Das NK. Post kala-azar dermal leishmaniasis: Clinical features and differential diagnosis.Indian J Dermatol 2021;66:24-33


How to cite this URL:
Kumar P, Chatterjee M, Das NK. Post kala-azar dermal leishmaniasis: Clinical features and differential diagnosis. Indian J Dermatol [serial online] 2021 [cited 2023 Feb 7 ];66:24-33
Available from: https://www.e-ijd.org/article.asp?issn=0019-5154;year=2021;volume=66;issue=1;spage=24;epage=33;aulast=Kumar;type=0