ATYPICAL POST-KALA-AZAR DERMAL LEISHMANIASIS RESEMBLING HISTOID LEPROSY

An adult male with atypical lesions of post-kala-azar dermal leishmani asis (PKDL) is described. He had extensive ulcerated noduloplaque lesi ons on his hands, feet and genitalia. He had been diagnosed and treate d for leprosy in the past. He came from an area endemic for kala-azar and leprosy and had a previous history of kala-azar. There was an abun dance of Leishman Donovan bodies in slit-skin smears and in histopatho logy sections. There was a good therapeutic response to sodium stibogl uconate. An ulcerative variant of PKDL has been described but is extre mely rare. Extensive lesions with ulceration have not been described b efore to the best of our knowledge. The epidemiological significance o f the case is discussed.