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Image Number 2416 (Kala-azar associated hyperpigmentation)

 
Morphology:
Hyperpigmentation

Diagnosis: Kala-azar associated hyperpigmentation

Site: All Sites

Sex: M

Age: 2

Type:

Description: Generalized gray-brownish hyperpigmentation.

Submitted by: Nameer Al-Sudany

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Differential Diagnosis

History:

An 18-month-old infant lives in a rural area suffered pyrexia of unknown origin (PUO) associated with chills and anemia for more than two months duration. He presented by his parents with fever, generalized gray-brown pigmentation intermingled with rounded hypopigmented macules, anemia and marked hepatosplenomegaly. Kala-azar (visceral leishmaniasis, dumdum fever, black fever) was suspected on clinical background and proved through identification of Leishman-Donovan complexes in bone marrow aspirate.



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