Challenges for management of post kala-azar dermal leishmaniasis and future directions
Dinesh Mondal,1 Shinjiro Hamano,2 Md Golam Hasnain,1 Abhay R Satoskar3 1Centre for Nutrition and Food Security, Parasitology Laboratory, (icddr, b) Mohakhali, Dhaka, Bangladesh; 2Department of Parasitology, Institute of Tropical Medicine (NEKKEN), Nagasaki University, Nagasaki, Japan; 3Departments o...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2014-11-01
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| Series: | Research and Reports in Tropical Medicine |
| Online Access: | http://www.dovepress.com/challenges-for-management-of-post-kala-azar-dermal-leishmaniasis-and-f-peer-reviewed-article-RRTM |
| _version_ | 1828499211145969664 |
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| author | Mondal D Hamano S Hasnain MG Satoskar AR |
| author_facet | Mondal D Hamano S Hasnain MG Satoskar AR |
| author_sort | Mondal D |
| collection | DOAJ |
| description | Dinesh Mondal,1 Shinjiro Hamano,2 Md Golam Hasnain,1 Abhay R Satoskar3 1Centre for Nutrition and Food Security, Parasitology Laboratory, (icddr, b) Mohakhali, Dhaka, Bangladesh; 2Department of Parasitology, Institute of Tropical Medicine (NEKKEN), Nagasaki University, Nagasaki, Japan; 3Departments of Pathology and Microbiology, Wexner Medical Center, The Ohio State University, Columbus, OH, USA Abstract: Post kala-azar dermal leishmaniasis (PKDL) is a skin complication resulting from infection with Leishmania donovani (LD) parasite. It mostly affects individuals who have previously suffered from visceral leishmaniasis (VL) caused by LD. In some cases, PKDL develops among people infected with LD, but do not show any symptoms of VL. Clinical presentation includes hypopigmented macules/papules/nodules or polymorphic lesions (combination of two or more lesions). Except for skin lesions, PKDL patients are generally healthy and usually do not seek medical care. These patients play an important role in interepidemic transmission of the infection and subsequent VL outbreak. Therefore, proper diagnosis and treatment of PKDL patients is important for the control of VL in endemic countries, especially in the Indian subcontinent where VL is anthroponotic. Here, we report the challenges in the estimation of PKDL burden, its diagnosis, and treatment, and suggest possible solutions based on recent literature, reports, published manuals, and web-based information. Keywords: post kala-azar dermal leishmaniasis, Bangladesh, challenge, treatment, diagnosis, prevention |
| first_indexed | 2024-12-11T13:20:42Z |
| format | Article |
| id | doaj.art-828d795a82e84522a72b29c6c4f61765 |
| institution | Directory Open Access Journal |
| issn | 1179-7282 |
| language | English |
| last_indexed | 2024-12-11T13:20:42Z |
| publishDate | 2014-11-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Research and Reports in Tropical Medicine |
| spelling | doaj.art-828d795a82e84522a72b29c6c4f617652022-12-22T01:05:52ZengDove Medical PressResearch and Reports in Tropical Medicine1179-72822014-11-012014default10511119163Challenges for management of post kala-azar dermal leishmaniasis and future directionsMondal DHamano SHasnain MGSatoskar ARDinesh Mondal,1 Shinjiro Hamano,2 Md Golam Hasnain,1 Abhay R Satoskar3 1Centre for Nutrition and Food Security, Parasitology Laboratory, (icddr, b) Mohakhali, Dhaka, Bangladesh; 2Department of Parasitology, Institute of Tropical Medicine (NEKKEN), Nagasaki University, Nagasaki, Japan; 3Departments of Pathology and Microbiology, Wexner Medical Center, The Ohio State University, Columbus, OH, USA Abstract: Post kala-azar dermal leishmaniasis (PKDL) is a skin complication resulting from infection with Leishmania donovani (LD) parasite. It mostly affects individuals who have previously suffered from visceral leishmaniasis (VL) caused by LD. In some cases, PKDL develops among people infected with LD, but do not show any symptoms of VL. Clinical presentation includes hypopigmented macules/papules/nodules or polymorphic lesions (combination of two or more lesions). Except for skin lesions, PKDL patients are generally healthy and usually do not seek medical care. These patients play an important role in interepidemic transmission of the infection and subsequent VL outbreak. Therefore, proper diagnosis and treatment of PKDL patients is important for the control of VL in endemic countries, especially in the Indian subcontinent where VL is anthroponotic. Here, we report the challenges in the estimation of PKDL burden, its diagnosis, and treatment, and suggest possible solutions based on recent literature, reports, published manuals, and web-based information. Keywords: post kala-azar dermal leishmaniasis, Bangladesh, challenge, treatment, diagnosis, preventionhttp://www.dovepress.com/challenges-for-management-of-post-kala-azar-dermal-leishmaniasis-and-f-peer-reviewed-article-RRTM |
| spellingShingle | Mondal D Hamano S Hasnain MG Satoskar AR Challenges for management of post kala-azar dermal leishmaniasis and future directions Research and Reports in Tropical Medicine |
| title | Challenges for management of post kala-azar dermal leishmaniasis and future directions |
| title_full | Challenges for management of post kala-azar dermal leishmaniasis and future directions |
| title_fullStr | Challenges for management of post kala-azar dermal leishmaniasis and future directions |
| title_full_unstemmed | Challenges for management of post kala-azar dermal leishmaniasis and future directions |
| title_short | Challenges for management of post kala-azar dermal leishmaniasis and future directions |
| title_sort | challenges for management of post kala azar dermal leishmaniasis and future directions |
| url | http://www.dovepress.com/challenges-for-management-of-post-kala-azar-dermal-leishmaniasis-and-f-peer-reviewed-article-RRTM |
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