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. 2024 Mar 5;110(4):656–662. doi: 10.4269/ajtmh.23-0197

Table 1.

Study population of PKDL cases from districts of West Bengal and Jharkhand where kala-azar is endemic*

Clinical features Group 1, Week 0 (n = 157) Group 2, Week 12 (n = 6) Group 3, Week ≥36 (n = 42)§
Age in years 22 (16.0–32.0) 19.50 (16.0–29.5) 23 (16.0–32.5)
Sex (males:females) 99:58 (1.7:1) 2:4 (1:2) 27:15 (1.8:1)
History of VL 92.36% 100% 97.6%
Lesion type (polymorphic:macular) 85:72 (1.18:1) 5:1 15:27 (1:1.8)
Lag period in years 4.0 (2.0–7.0) 7.0 (2.2–14.0) 8.0 (4.5–11.2)
PKDL duration in years 2 (1–5) 1 (1–2) 2 (1–3)
Parasite load (parasites/µg gDNA) 10,769 (1,339–80,441) 1,525 (1–3,670) 1 (1–1)

gDNA = genomic DNA; PKDL = post-kala-azar dermal leishmaniasis; t/t = treatment; VL = visceral leishmaniasis.

*

The study population included 205 patients with PKDL that were subdivided into three groups depending on the time of presentation, group 1 being at disease presentation, group 2 being after completion of 12 weeks of treatment, and group 3 being at any time point at least 6 months after the end of treatment. The skin biopsy specimens were collected as described in Materials and Methods.

All values are in median (interquartile range).

Thirty-three patients entered the study in group 1.

§

Twelve patients entered the study in group 1.

The lag period is the interval between cure of VL and onset of PKDL.

PKDL duration indicates the time from appearance of lesions to presentation at the medical camp.