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Post kala-azar dermal leishmaniasis is a dermal complication occurring months after treatment of visceral leishmaniasis. A 10 year old boy, resident of kalaazar endemic area presented with multiple hypopigmented macules over both legs and abdomen for 3 years. Child had splenomegaly. Splenic puncture revealed LD bodies and RK 39 antibody positivity. Skin revealed unremarkable epidermis and dermal perivascular inflammation in 100 X magnification. Leishmania donovani body was seen 1000X magnification. Presentation of PKDL with VL is rare. Child was treated with liposomal amphotericin B. Skin lesions decreased and spleen size regressed after treatment.

Post Kala-azar Dermal Leishmaniasis Presenting with Visceral Leishmaniasis