Post-kala azar dermal leishmanoid B55.0

Skin leishmaniasis as a late complication, which occurs in about 6% of those infected with visceral leishmaniasis (mainly men between the ages of 20 and 30), 1-3 years after visceral leishmaniasis. In India, about 20% of those infected with visceral leishmaniasis develop post-cal azar leishmanoid.

Clinically, hypopigmented and reddened spots and nodules containing leishmania are found in hyperergic reactions.

In addition, light-provoked erythema, possibly leprosy-like image or image of systemic lupus erythematosus.

Such leishmanoids may also occur during the treatment of visceral leishmaniasis.

Treatment of the underlying disease as for visceral leishmaniasis. For single post-scale azar nodes: glucocorticoids such as triamcinolone acetonide (e.g. Volon A 10) intralesionally.

1. Antinori S et al (2007) Post-kala-azar dermal leishmaniasis as an immune reconstitution inflammatory syndrome in a patient with acquired immune deficiency syndrome. Br J Dermatol 157:1032-1036
2. Barroso DH et al (2015) Post-kala-azar dermal leishmaniasis in two different clinical contexts. An Bras Dermatol 90 (3 Suppl 1):108-110
3. Ramesh V et al (2015) Post-kala-azar dermal leishmaniasis in HIV-coinfected individuals: problems in diagnosis and treatment. Int J Dermatol 54:116-120