You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information.
What is 26 yr old man from Bihar comes with juicy looking papules over face and back of neck which were hypopigmented and normoaesthetic with no nerve thickening. History of prolonged fever in childhood was present. Diagnosis and explain in detail?
The diagnosis is post kala Azar dermal lieshmansiasis: Post-kala-azar dermal leishmaniasis (PKDL) is a complication of visceral leishmaniasis (VL); it is characterised by a macular, maculopapular, and nodular rash in a patient who has recovered from VL and who is otherwise well. Ref Harrison 20th edition pg 1234