{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,28]],"date-time":"2026-03-28T09:20:54Z","timestamp":1774689654162,"version":"3.50.1"},"reference-count":10,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2013,12,10]],"date-time":"2013-12-10T00:00:00Z","timestamp":1386633600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Dermatology"],"published-print":{"date-parts":[[2014,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Post\u2010kala\u2010azar dermal leishmaniasis (<jats:styled-content style=\"fixed-case\">PKDL<\/jats:styled-content>) is well recognized in the Indian subcontinent and is not infrequently confused with leprosy. The present report describes findings in an unusual case of <jats:styled-content style=\"fixed-case\">PKDL<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We report an adult male who presented with firm nodules on the face and extremities, along with hypopigmented macules on the neck with deformity and hypoesthesia over the right upper extremity. The patient had experienced similar lesions seven\u00a0years previously and had used multibacillary multi\u2010drug therapy for leprosy with complete resolution of the nodules.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>At the current presentation, skin smears from ear lobes and nodules were negative on <jats:styled-content style=\"fixed-case\">Z<\/jats:styled-content>iehl\u2013<jats:styled-content style=\"fixed-case\">N<\/jats:styled-content>eelsen staining. Histopathological examination revealed a dermal lymphohistiocytic infiltrate with plasma cells. Giemsa staining of a tissue smear revealed <jats:italic><jats:styled-content style=\"fixed-case\">L<\/jats:styled-content>eishmania donovani<\/jats:italic> bodies, and an r<jats:styled-content style=\"fixed-case\">K<\/jats:styled-content>39 antigen test was positive. The patient responded well to oral miltefosine.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This case is noteworthy because the patient exhibited an unusual combination of healed leprosy sequelae and active <jats:styled-content style=\"fixed-case\">PKDL<\/jats:styled-content> lesions, which caused a diagnostic dilemma.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ijd.12299","type":"journal-article","created":{"date-parts":[[2013,12,10]],"date-time":"2013-12-10T08:12:57Z","timestamp":1386663177000},"page":"606-608","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Post\u2010kala\u2010azar dermal leishmaniasis mimicking leprosy relapse: a diagnostic dilemma"],"prefix":"10.1111","volume":"53","author":[{"given":"Shikha","family":"Arora","sequence":"first","affiliation":[{"name":"Department of Dermatology and Venereology ESIC (Employees' State Insurance Corp.) Postgraduate Institute of Medical Sciences and Research (PGIMSR) New Delhi India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paschal","family":"D'Souza","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Venereology ESIC (Employees' State Insurance Corp.) Postgraduate Institute of Medical Sciences and Research (PGIMSR) New Delhi India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammad A.","family":"Haroon","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Venereology ESIC (Employees' State Insurance Corp.) Postgraduate Institute of Medical Sciences and Research (PGIMSR) New Delhi India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"V.","family":"Ramesh","sequence":"additional","affiliation":[{"name":"Department of Dermatology Safdarjang Hospital Vardhman Mahavir Medical College Delhi India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Onkar","family":"Kaur","sequence":"additional","affiliation":[{"name":"Department of Pathology ESIC (Employees' State Insurance Corp.) Postgraduate Institute of Medical Sciences and Research (PGIMSR) New Delhi India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raj Kumar","family":"Chandoke","sequence":"additional","affiliation":[{"name":"Department of Pathology ESIC (Employees' State Insurance Corp.) Postgraduate Institute of Medical Sciences and Research (PGIMSR) New Delhi India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,12,10]]},"reference":[{"key":"e_1_2_4_2_1","first-page":"295","article-title":"Challenges in the diagnosis of post\u2010kala\u2010azar dermal leishmaniasis","volume":"123","author":"Salotra P","year":"2006","journal-title":"Indian J Med Res"},{"key":"e_1_2_4_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/00015550410024607"},{"key":"e_1_2_4_4_1","first-page":"53","article-title":"Distinguishing post\u2010kala\u2010azar dermal leishmaniasis from leprosy: experience in the Sudan","volume":"64","author":"Hassan AM","year":"1993","journal-title":"Lepr Rev"},{"key":"e_1_2_4_5_1","first-page":"635","volume-title":"Lever's Histopathology of the Skin","author":"Sellheyer K","year":"2005"},{"key":"e_1_2_4_6_1","volume-title":"Kala\u2010azar Elimination in the Southeast Asia Region: Training Module","author":"World Health Organization","year":"2008"},{"key":"e_1_2_4_7_1","volume-title":"Report of an Intercountry Meeting, Bangkok","author":"National Program Managers for Leprosy Elimination","year":"2006"},{"key":"e_1_2_4_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-4632.2009.04018.x"},{"key":"e_1_2_4_9_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1381.1999.99236.x"},{"key":"e_1_2_4_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2133.2007.08072.x"},{"key":"e_1_2_4_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-4362.1992.tb02668.x"}],"container-title":["International Journal of Dermatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fijd.12299","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ijd.12299","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,3]],"date-time":"2023-10-03T22:28:18Z","timestamp":1696372098000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ijd.12299"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,12,10]]},"references-count":10,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2014,5]]}},"alternative-id":["10.1111\/ijd.12299"],"URL":"https:\/\/doi.org\/10.1111\/ijd.12299","archive":["Portico"],"relation":{},"ISSN":["0011-9059","1365-4632"],"issn-type":[{"value":"0011-9059","type":"print"},{"value":"1365-4632","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,12,10]]},"assertion":[{"value":"2013-12-10","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}