Indian Journal of Dermatology
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CASE REPORT
Year : 2015  |  Volume : 60  |  Issue : 1  |  Page : 88-90

Atypical post kala azar dermal leishmaniasis with ''Muzzle area'' swelling


1 Department of Skin, Army College of Medical Sciences and Base Hospital, Cantt, New Delhi, India
2 Department of Pathology, Army College of Medical Sciences and Base Hospital, Cantt, New Delhi, India
3 Military Hospital, Dehradun, Uttarakhand, India

Correspondence Address:
Sandeep Arora
Skin Centre, Base Hospital, New Delhi Cantt - 110 010, Delhi
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5154.147809

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A 50-year-old male presented with recurrent swelling of the muzzle area of the face with history of low-grade intermittent fever of 3 year duration managed variously with antibiotics, systemic steroids, and antituberculous therapy. Skin biopsy revealed a granulomatous infiltration negative for acid-fast bacilli and leishmania donovan bodies. Immunochromatography test for rK 39 antigen and polymerase chain reaction for leishmania was positive. He was diagnosed as a case of post kala azar dermal leishmaniasis, managed with injection sodium stibogluconate and followed-up thereafter.


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