MCQ – 73667

A 26-year-old man from Bihar comes with juicy looking papules over the face and back of the neck, which were hypopigmented and normal aesthetic. History revealed an episode of prolonged fever in childhood. Diagnosis:

A.	Tuberculoid leprosy
B.	Lepromatous leprosy
C.	Post-Kala-Azar dermal leishmaniasis
D.	Histoid Hansen’s

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Correct Answer � C Explanation

Ans: C. Post Kala-Azar dermal leishmaniasis

• Here the diagnosis = Post-Kala-Azar dermal Leishmaniasis.

“Post Kala-Azar Dermal Leishmaniasis:

• On the Indian subcontinent, Sudan & other East African countries:
• 2-50% of patients develop skin lesions concurrent with or after the cure of visceral leishmaniasis.

Most common skin lesions:

• Hypopigmented macules, papules, and/or nodules or diffuse infiltration of skin & oral mucosa.

Diagnosis:

• History of kala-azar in the past (1-5 years ago) or living in the endemic area.
• Presence of “juicy” erythematous nodules on the central part of the face.
• Hypopigmented macules on the central part of the trunk.
• No nerve involvement.