Post-kala-azar-dermal-leishmaniasis: An unusual presentation from Uttarachal (a non-endemic hilly region of India)

A 26 -year-old male resident of Uttaranchal had a single large, erythematous, indurated verrucous plaque on chin of 1 year duration. He had suffered from visceral leishmaniasis 4 -years back for which he was treated with injection sodium antimony gluconate (SAG) IM OD for 20 days. He had never been to regions endemic for kola - czar (KA) or post - kola -azar-dermal leishmaniasis (PKDL). Skin biopsy showed chronic granulomatous inflammation in the dermis. Giemsa stain revealed LD bodies inside the macrophages. The patient was treated successfully with injection SAG 20 mg/kg parenterally for 60 days. To the best of our knowledge, this is probably the first case of PKDL from the hills of Uttaranchal.