POST‐KALA‐AZAR DERMAL LEISHMANIASIS: A CLINICAL AND THERAPEUTIC STUDY

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Abstract
Post-kala-azar dermal leishmaniasis is a condition peculiarly confined to the Indian subcontinent. The clinical features and investigations in 18 patients of post-kala-azar dermal leishmaniasis were studied. There was a polymorphic picture from hypopigmented macules to nodules and plaques. Mucous membranes were affected in five, the lips and glans penis being the most frequent sites. Histopathologically, a rich dermal infiltrate was seen in indurated lesions and in macules; it was confined to perivascular foci in the upper dermis. Leishman-Donovan bodies were seen in 16. The lesions cleared in 4 to 5 months after treatment with sodium antimony gluconate intramuscularly 20 mg/kg/day up to a maximum of 1 g/day. The drug was well tolerated.

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