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CORRESPONDENCE COLUMN |
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| Year : 2006 | Volume
: 51
| Issue : 2 | Page : 154 |
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| Cutaneous leishmaniasis |
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V Ramesh, Joginder Kumar
Department of Dermatology, Safdarjang Hospital and VM Medical College, New Delhi - 110029, India
Correspondence Address:
V Ramesh
Department of Dermatology, Safdarjang Hospital and VM Medical College, New Delhi - 110029
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0019-5154.26948
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How to cite this article:
Ramesh V, Kumar J. Cutaneous leishmaniasis. Indian J Dermatol 2006;51:154 |
We read with interest recently reported article on cutaneous leishmaniasis published in the October-December 2005 issue of the IJD.[1] Some serious lacunae need to be addressed:
1. The authors mention in the abstract that there are 2 cases of cutaneous leishmaniasis (CL) with HIV infection. This fact is mentioned only in case no.1, which means that case no.2 did not have HIV.
2. Surprisingly, they have mentioned Rajasthan as a non-endemic region and diagnosed case no.1 as CL. It is well known that the western part of Rajasthan has endemic foci of CL and many articles have been published from that area, particularly Bikaner and Jaisalmer.
3. We do not understand why case no.2 cannot be post-kala-azar dermal leishmaniasis (PKDL) with so many points in favour of it, e.g. patient is from Bihar (a place highly endemic for kala-azar), past history of kala-azar and presence of hepatosplenomegaly.
4. The authors have given references in favour of PKDL (see reference no. 5 and 6 in the article) when they have diagnosed the condition as CL
5. It has been mentioned that Bihar is endemic for CL, which is far from truth.
6. Nothing has been discussed concerning how HIV has altered the typical clinical picture and the impact of HIV in CL and PKDL
7. By not using specific names, the authors have completely confused CL and PKDL which are well described in all standard textbooks. Unfortunately, even the reviewers have overlooked these significant lapses.
 References | |  |
| 1. | Mittal A, Pandya V, Parmar KS, Bilimoria FE. Study of the 2 cases of cutaneous leishmaniasis. Indian J Dermatol 2005;50:233-5.  |
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