© 2004 The International Society of Dermatology International Journal of Dermatology 2005, 44, 129–131 129 Blackwell Publishing Ltd. Oxford, UK IJD International Journal of Dermatology 1365-4632 Blackwell Publishing Ltd, 2003 45 Tropical medicine rounds Macroglossia in post-kala-azar dermal leishmaniasis Nikzadet al. CASE REPORT Macroglossia as a manifestation of post-kala-azar dermal leishmaniasis: a case report Ali Nikzad, MD, Hasan Nobari, MD, Alireza Firooz, MD, and Yahya Dowlati, MD, PhD From the Department of Dermatology and the Department of Infectious Diseases, Air Force Hospital, Army University of Medical Sciences and Center for Research & Training in Skin Diseases & Leprosy, Tehran University of Medical Sciences, Tehran, Iran Correspondence Alireza Firooz, MD 79 Taleghani Avenue Tehran 14166 Iran E-mail: alifiruz@yahoo.com Case Report A 28-year-old man was admitted at Tehran Air Force Hospital in October 2001 for the evaluation of gradual enlargement of his tongue with burning sensation and pain for a year. The patient had a history of visceral leishmaniasis 7 years ago and had been treated with meglumine antimonate (Glucantime). Physical examination revealed macroglossia with multiple deep grooves on middle and lateral portions of the tongue covered with white plaques (Fig. 1). There were also multiple asymptomatic, hypopigmented macules on both forearms (Fig. 2). Examination of other systems did not reveal any abnormalities. Figure 1 Macroglossia with scrotal tongue Figure 2 Hypopigmented macules on the arm