Publication: Post Kala Azar Dermal Leishmaniasis (PKDL) Presenting with Ulcerated Chronic Paronychia Like Lesion
Date
2012
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
ABSTRACT
A 50-year-old lady, resident of urban Bihar, presented with inflamed proximal
nail fold of a single digit for one and half months. The lesion on distal finger
was remarkable for ulceration. Mucocutaneous examination revealed multiple
hypopigmented macules and patches, notable for absence of scaling. The presence
of ulceration was not consistent with chronic paronychia, hence, she was asked for
biopsy. She declined and opted for trial of antibiotic and anti-fungal treatment. At
two weeks of follow up, no improvement was noted at all. At the same time, she
developed multiple juicy papules in perioral area and on neck. She tested positive
by rK 39 tests. Histopathology from periungual area showed LD body. She was
diagnosed as Post Kala-azar dermal leishmaniasis and was treated with miltefosine
50 mg twice daily for three months, resulting in complete resolution of all lesions.
KEYWORDS
Post Kala azar dermal leishmaniasis, kala-azar, paronychia, ulceration, miltefosine
Description
Jha AK, Anand V, Mallik SK, Kumar P
Department of Dermatology
Katihar Medical College, Katihar