FNAC Diagnosis of Cutaneous Leishmaniasis

Abhimanyu Jha,Dipendra Gurung

doi:10.31729/jnma.2439

Abstract

Cutaneous leishmaniasis is rare in Nepal although visceral leishmaniasis and post-kalazar dermal leishmansis have frequently been reported. Diagnosis is often made in skin biopsy. Fine needle aspiration cytology diagnosis of the disease is a rare event. This was a 33 year male presenting with ulcerated cutaneous nodule at anterior neck. Fine needle aspiration cytology showed granulomatous inflammation with numerous intracellular and extracellular amastigotes. Fine needle aspiration cytology diagnosis of this condition is easy and less time consuming compared to skin biopsy.

Highlights

Skin lesions associated with Leishmania manifest in various forms such as Post kala-azar dermal leishmaniasis (PKDL), mucocutaneous leishmaniasis and cutaneous leishmaniasis (CL)
Cases of Leishmania lymphadenitis are reliably diagnosed by Fine needle aspiration cytology (FNAC), it has not attained popularity in the diagnosis of cutaneous leishmaniasis, and only a few reports are available
In six cases reported in Nepal diagnosis were made on skin biopsy and imprint cytology or slit skin smears.[4-6]

Summary

Introduction

Skin lesions associated with Leishmania manifest in various forms such as Post kala-azar dermal leishmaniasis (PKDL), mucocutaneous leishmaniasis and cutaneous leishmaniasis (CL). Cutaneous leishmaniasis is rare in Nepal and only a handful of cases have been reported, visceral leishmaniasis is quite common and is endemic in certain areas of eastern terai.[1] This 33 years male from hilly region of Nepal developed non-itching painless skin lesion over anterior neck of two months duration.

Results

Conclusion