Post Kala-azar Dermal Leishmaniasis (PKDL) is a dermatosis usually occurs as a sequel of Visceral Leishmaniasis (VL), commonly known as kala-azar (KA), caused by L. donovani (L.d.) and characterized by macular, maculo-papular and nodular skin lesion on the whole body surface. It is of considerable epidemiological importance particularly in India because it acts as reservoir for transmission of parasite through sandflies. In India, it appears after a long period, usually 1–2 years or more, in 5–10% of VL cases, but it may also occur without manifestation of VL.
Emphasis on PKDL reporting, the prevalence of PKDL cases is not much clear. Objective to assess prevalence of PKDL in Children in endemic community of Bihar, survey was carried out in a Rukhai village of Chandi PHC, regular occurrences of VL cases and PKDL have been reported. Out of 223 individuals (52% male, 48% female), 41 had past history of VL occurred during 2001 to 2007, 40 cases were treated with recommended dosage of Sodium Antimony Gluconate and only one case Miltefosine; and all were cured. A total of 11 individuals (male-5, female-6) were identified as PKDL cases. Out of 23,915 populations from 4323 households, 12 PKDL cases (Male 5, Female 7) were detected. Out of 12, 9 had past history of VL.
Less than 1 VL case per 10,000 population at sub-district level under KA elimination programme, the estimated prevalence of PKDL, is a matter of concern for policy planners.