[Clinical Picture] Atypical presentation of post-kala-azar dermal leishmaniasis

An 80-year-old man, from an area in Bangladesh where visceral leishmaniasis is endemic, presented at our hospital in June, 2016, reporting widespread swelling and a history of papulonodular lesions for the past 2 years. In 2014, the patient sought medical attention for skin thickening and several subcutaneous papules and nodules of varying sizes, which had gradually developed on the dorsum of the foot, and then disseminated to both legs. The patient gave no history of fever or other systemic symptoms at any time of illness.

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