Nonhealing Leg Ulcer in a Middle-aged Indian Man

Vinay, Keshavamurthy; De, Dipankar; Saikia, Uma Nahar

doi:10.1001/jamadermatol.2017.3566

Cited by 1 publication

(1 citation statement)

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“…Nodular lesions on the mucosa of the glans penis, anus and oral cavity up to the vocal cord have been documented in PKDL patients [ 63 ]. In Indian PKDL, ulcerated lesions are rare, and even when present they can be attributed to trauma as seen in the tumorous, eroded and non-tender plaque on the forehead of an adult male who, when praying, used to strike the ground with his forehead ( Figure 2 e), or in the person with an ulcerated nodule on the dorsum of the foot most likely caused by repeated trivial trauma [ 64 ]. Even in such cases of PKDL, multiple asymptomatic, hypopigmented patches over the face and trunk that diffusely infiltrate have been described ( Figure 2 f) [ 60 , 61 , 65 ].…”

Section: Atypical Presentations Of Leishmaniasismentioning

confidence: 99%

Unusual Observations in Leishmaniasis—An Overview

et al. 2023

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Leishmaniasis significantly affects the population of the tropics and subtropics. Clinical features and infective species of Leishmania are the primary factors driving the direction of diagnosis. The rise in incidences of atypical presentations present a challenge in patient treatment. Knowledge of unusual/rare presentations can aid in having a broader perspective for including the different aspects during the examination and thus avoid misdiagnosis. A comprehensive literature survey was performed to present the array of atypical presentations confounding clinicians which have been seen in leishmaniasis. Case reports of unusual findings based on the localizations and morphology of lesions and infective species and the predominant geographical sites over almost five decades highlight such presentations in the population. Information regarding the clinical features recorded in the patient and the chosen treatment was extracted to put forward the preferred drug regimen in such cases. This comprehensive review presents various unusual observations seen in visceral leishmaniasis, post-kala-azar dermal leishmaniasis, cutaneous leishmaniasis, and mucocutaneous leishmaniasis. It highlights the need to consider such features in association with differential diagnosis to facilitate proper treatment of the patient.

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Section: Atypical Presentations Of Leishmaniasismentioning

confidence: 99%