Document Detail

Distinguishing post-kala-azar dermal leishmaniasis from leprosy: experience in the Sudan.
MedLine Citation:
PMID:  8464317     Owner:  NLM     Status:  MEDLINE    
In this study 4 patients were post-kala-azar dermal leishmaniasis (PKDL), whose lesions were similar to those of lepromatous and borderline leprosy, are described. In 2 patients there was no previous history of kala-azar but they were residents of an area of known endemic kala-azar. Lack of proper clinical and laboratory assessment was behind the failure to diagnose PKDL. Consequently the patients were treated with antileprosy drugs without proof of leprosy. The 3rd and 4th patients, though suspected clinically of leprosy, were correctly diagnosed as PKDL with adequate history, clinical assessment and appropriate laboratory investigations. The salient points in distinguishing PKDL from leprosy are described and discussed.
A M el Hassan; F A Hashim; M Abdullah; E E Zijlstra; H W Ghalib
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Leprosy review     Volume:  64     ISSN:  0305-7518     ISO Abbreviation:  Lepr Rev     Publication Date:  1993 Mar 
Date Detail:
Created Date:  1993-05-06     Completed Date:  1993-05-06     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0243711     Medline TA:  Lepr Rev     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  53-9     Citation Subset:  IM    
Department of Pathology, Faculty of Medicine, University of Khartoum.
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MeSH Terms
Diagnosis, Differential
Leishmaniasis, Cutaneous / complications,  diagnosis*
Leishmaniasis, Visceral / complications*
Leprosy / diagnosis*
Comment In:
Lepr Rev. 1994 Jun;65(2):150   [PMID:  7968192 ]

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