Post kala-azar dermal leishmaniasis: Macular variety

Abstract

A 7-year-old boy presented with numerous asymptomatic whitish flat lesions of varying sizes over the whole body for last two years. Patient was diagnosed as kala-azar about 3 years previously, and was treated suboptimally. There was no other systemic complaints like fever, pain abdomen or photosensitivity. On examination, there were asymptomatic hypopigmented macules and patches over the face (Fig. 1), trunk and extremities (Fig 2). There was no evidence of any scaling, erythema, itching sensation or photosensitivity. There were no mucocutanoeus abnormalities, and lymphandenopathy, hepatosplenomegaly or any other systemic abnormalities. Slit skin smear from the lesions demonstrated the Leishmania donorexi; parasites and ELISA demonstrated the antibody in blood against the parasites. A diagnosis of post kala-azar dermal leishmaniasis was made (macular variety).