Research Article

Histopathology of Cutaneous Leishmaniasis Caused by Leishmania donovani in Sri Lanka

Table 2

Dermal changes of lesions among patients with cutaneous leishmaniasis.

Dermal changeCategoryNumber (%)

Type of inflammatory cellsLymphocytesAbsent0 (0)
Fewer in number to other cells3 (6)
Equal in number to other cells40 (80)
Dominates other cells40 (80)
Plasma cellsAbsent5 (10)
Fewer in number to other cells27 (54)
Equal in number to other cells18 (36)
Dominates other cells0 (0)
MacrophagesAbsent0 (0)
Fewer in number to other cells3 (6)
Equal in number to other cells25 (50)
Dominates other cells22 (44)
NeutrophilsAbsent16 (32)
Fewer in number to other cells32 (64)
Equal in number to other cells2 (4)
Dominates other cells0 (0)
EosinophilsAbsent43 (86)
Fewer in number to other cells7 (14)
Equal in number to other cells0 (0)
Dominates other cells0 (0)
Multinucleated giant cellsPresent13 (26)
Absent37 (74)

Nature of inflammatory infiltrateMacrophage predominant22 (44)
Lymphocyte predominant7 (14)
Lymphoplasmacytic1 (2)
Lymphohistiocytic9 (18)
Lymphohistioplasmacytic11 (22)

Degree of inflammationMild5 (10)
Moderate16 (32)
Extensive29 (58)

NecrosisAbsent40 (80)
Focal10 (20)
Diffuse0 (0)

NeuritisAbsent45 (90)
Present5 (10)

GranulomaAbsent9 (18)
Ill-defined granuloma19 (38)
Well defined granuloma22 (44)

Pattern of inflammationDiffuse infiltrate9 (18)
Ill-defined histiocytic infiltrate19 (38)
Well defined granuloma22 (44)