Cutaneous Leishmaniasis in a Nonendemic Area of South Rajasthan: A Prospective Study.
BACKGROUND
Cutaneous leishmaniasis (CL) usually occurs in areas with hot and dry climate. In India, the desert areas of Rajasthan, Gujarat, and the plains of Northwestern frontier are endemic for this disorder.


OBJECTIVE
The present study was aimed to describe clinicoepidemiological profile of the cases of CL from South Rajasthan, which is a nonendemic area of Rajasthan.


METHODS
During a period of 4 years (2010-2014), a total of 23 patients with CL were diagnosed. All the suspected cases of CL were interrogated in detail regarding visit to areas where CL is known to occur. This was followed by clinical examination, relevant investigations, and treatment. All except one patient were treated with azole antifungals. In one patient, CO2 laser ablation was done.


RESULTS
There were 12 (52.17%) males and 11 (47.83%) females with age ranging from 3 to 72 years. Duration of disease ranged from 7 days to 10 months. Face (15; 65.22%) and extremities (12; 52.17%) were involved in majority of the patients. Common morphologies were noduloulcerative lesions and crusted plaques. Tissue smear for Leishmania donovani bodies was positive in all except one patient.


CONCLUSIONS
The present report highlights occurrence of CL in nonendemic area. Further epidemiological studies are required for identification of vector and strain of Leishmania involved.
Department of Dermatology, Venereology and Leprology, RNT Medical College, Udaipur, Rajasthan, India.
Manisha
M
Balai
Department of Dermatology, Venereology and Leprology, RNT Medical College, Udaipur, Rajasthan, India.
Lalit Kumar
LK
Gupta
Department of Dermatology, Venereology and Leprology, RNT Medical College, Udaipur, Rajasthan, India.
Ashok Kumar
AK
Khare
Department of Dermatology, Venereology and Leprology, RNT Medical College, Udaipur, Rajasthan, India.
Ankita
A
Srivastava
Department of Dermatology, Venereology and Leprology, RNT Medical College, Udaipur, Rajasthan, India.
Asit
A
Mittal
Department of Dermatology, Venereology and Leprology, RNT Medical College, Udaipur, Rajasthan, India.
Ajit
A
Singh
Azole antifungals; cutaneous leishmaniasis; new focus; nonendemic area
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