A rare case of diffuse cutaneous leishmaniasis in an immunocompetent patient from sub-Himalayan India.

Abstract:

:Diffuse cutaneous leishmaniasis (DCL) is a rare variant of cutaneous leishmaniasis (CL) characterised by multiple (≥10), widespread, slowly progressive, cosmetically disfiguring, non-ulcerating nodules without visceral involvement. The disease is resistant to chemotherapy and characterized by relapses. We present a rare case of a patient with DCL who had extensive lesions (282) and who was HIV negative from a new focus of leishmaniasis in sub-Himalayan India. A favourable response with a regression of the lesions was observed after a month of treatment with intravenous and intralesional sodium stibogluconate with oral pentoxiphyline. Familiarity with such exceptional cases in immunocompetent individuals may facilitate diagnosis and a promising treatment outcome.

journal_name

Trop Doct

journal_title

Tropical doctor

authors

Verma GK,Verma S,Shanker V,Singh G,Tegta GR

doi

10.1258/td.2012.120316

subject

Has Abstract

pub_date

2012-10-01 00:00:00

pages

237-9

issue

4

eissn

0049-4755

issn

1758-1133

pii

td.2012.120316

journal_volume

42

pub_type

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