What are the physical findings in post–kala-azar dermal leishmaniasis (PKDL)?

Updated: Feb 18, 2020
  • Author: Craig G Stark, MD, FACP, FFTM, RCPS(Glasg), FISTM; Chief Editor: Pranatharthi Haran Chandrasekar, MBBS, MD  more...
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Answer

Post–kala-azar dermal lesions are categorized into 3 types, as follows:

  • Depigmented macules: The earliest lesions; present on the trunk and extremities

  • Erythematous patches: Appear early in the course of disease; seen on the nose, cheeks, and chin, with a butterfly distribution; they are photosensitive and become prominent toward the middle of the day

  • Yellowish pink nodules: Appear mostly on the face and replace the earlier lesions; the absence of ulceration distinguishes these nodules from those of cutaneous leishmaniasis (oriental sore)


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