Post-Kala-Azar Dermal Leishmaniasis: A Case Report from Taiwan (Formosa).

摘要

In 1909 Thomson and Balfour reported nonulcerating oriental sore in two Egyptian soldiers and designated these as 'Leishman nodules.' Later, Brahmachari described four patients in Calcutta having a peculiar form of cutaneous eruption that resembled tuberculoid leprosy which had appeared six months to two years after completion of treatment for kala-azar. He use the name 'dermal leishmanoid' to describe this new entity. Five years later, Acton and Napier, also working in Calcutta, reported 44 had patients with dermal manifestations of kala-azar. Twenty- four of these 44 a previous history of visceral leishmaniasis. Acton and Napier therefore named this disease 'post-kala-azar leishmaniasis' and suggested that in the 20 patients with no past history of the visceral form of the disease, transient leishmaniasis with spontaneous cure may have antedated the onset of the dermal manifestations JMD.