IJD
Indian Journal of Dermatology
  Publication of IADVL, WB
  Official organ of AADV
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Year : 1990  |  Volume : 35  |  Issue : 4  |  Page : 123-127

Cutaners leishmaniasis


Department of Dermatology and Medicine Base Hospital, and Command Pathology Laboratory, New Delhi 110010

Correspondence Address:
PN Arora
Department of Dermatology and Medicine Base Hospital, and Command Pathology Laboratory, New Delhi 110010

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Source of Support: None, Conflict of Interest: None


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ABSTRACT: A total of 21 patients with skin lesions were clinically diagnosed as suffering from cutaneous leishmaniasis during the 3 years period. 18 of the patients had leishmania tropica (Oriental sores) and 3 had post-kala-azar dermal leishmaniasis. The patients were all males, 17 being in the 3rd decade of life. The number varied from a solitary lesion to more than 20. Face, feet and hands were the commonest site. Generalised lesions were present in 4 patients. Duration varied from one month to 3 years. Majority of patients suffering from L. tropica had noduloulcerative lesions and those of post-kala-azar dermal leishmaniasis had multiple nodular lesions. Oriental sores occurred in those employed in Rajasthan sector. Biopsy done in all patients revealed LD bodies in 7 cases of oriental sores and 2 cases of post-kala-azar dermal leishmaniasis. Immunoglobulin profiles showed raised IgG and IgM in 6 cases of oriental sores and all the 3 cases of post-kala-azar dermal leishmaniasis. Out of 8 cases of oriental sores, 5 were treated with antibiotics, 6 with antibiotics-steroids combination and remaining 7 with conventional doses of sodium antimony gluconate out of which 2 patients relapsed. The serum immunoglobuline of both the patients with post-kala-azar dermal leishmaniasis remaned high inspite of treatment and clinical response.


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