01605nas a2200301   4500000000100000008004100001260001300042653001200055653003000067653002200097653001100119653002800130653002500158653000900183653001600192653000900208100001300217700001300230700001400243700001600257245009800273856005900371300001100430490000700441050003200448520080900480022001401289       1991                            d  c1991 Jun10aAnimals10aAntimony Sodium Gluconate10aDiagnostic Errors10aHumans10aLeishmaniasis, Visceral10aLeprosy, lepromatous10aMale10aMiddle Aged10aSkin1 aRamesh V1 aSaxena U1 aMisra R S1 aMukherjee A00aPost-kala-azar dermal leishmaniasis: a case report strikingly resembling lepromatous leprosy.  uhttp://leprev.ilsl.br/pdfs/1991/v62n2/pdf/v62n2a15.pdf  a217-210 v62  aInfolep Library - available3 a<p>An adult man with post-kala-azar dermal leishmaniasis who had lessons distributed in a manner strikingly similar to lepromatous leprosy is described. He was mistakenly treated with multidrug therapy as recommended by the WHO Expert Committee on leprosy. All investigations including slit-skin smears, histopathology, culture for Leishmania donovani and an indirect fluorescent antibody test to confirm post-kala-azar dermal leishmaniasis proved futile. The diagnosis was ultimately based on the previous history of kala-azar, the absence of other disorders which were ruled out by relevant laboratory tests and the good therapeutic response to sodium antimony gluconate. The epidemiological significance of this case and the salient points to distinguish this condition from leprosy are discussed.</p>  a0305-7518