Histopathology of Cutaneous Leishmaniasis Caused by Leishmania donovani in Sri Lanka
Table 4
Categorization of cases according to modified Ridley index.
Group
Morphology
Organisms
No of cases (%)
Group 1
Parasitized macrophages with variable lymphocytes and plasma cells
+
8 (16)
Group 2
Parasitized macrophages with lymphocytes, plasma cells, and ill-formed histiocytic granuloma
+
19 (38)
Group 3
A mixture of macrophages (with or without parasites), lymphocytes, plasma cells, and epithelioid granuloma
+/-
17 (34)
Group 4
Epithelioid granulomatous response (with or without Langhans type multinucleated giant cells) with a few lymphocytes and plasma cells but no amastigotes
ā
5 (10)
Nonspecific chronic inflammation with no amastigotes