Atypical Presentation of Post-Kala-Azar Dermal Leishmaniasis in Bhutan

Figure 1

Lesion and/or residual scarring after treatment at different time points. (a) First presentation in 2014 with erythematous plaques with crusting and loss of the left eye. (b) Marked improvement after 28 doses of sodium stibogluconate (SSG) in 2014. (c) In 2017, reappearance of plaques over old healed areas. (d) In 2019, relapsed and diagnosed (and subsequently treated) as post-kala-azar dermal leishmaniasis. (e) In 2019, after treatment with miltefosine.

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