| Visceral leishmaniasis |
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3–8 months (range 10 days to 34 months) |
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Fever, weight loss, hepatosplenomegaly, lymphadenopathy, pancytopenia and hypergammaglobulinaemia skin pigmentation |
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| Post‐kala azar dermal leishmaniasis |
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Variable; develops after resolution of visceral leishmaniasis |
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Skin lesions around mouth and other parts of body |
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| Cutaneous leishmaniasis |
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2 weeks to several months (rarely up to 3 years) |
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Papule at the site of a sandfly bite increases in size, crusts and ulcerates |
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| Leishmaniasis recidivans |
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Tuberculoid lesions develop around scars of healed cutaneous ulcers; low parasite count on biopsy |
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| Diffuse cutaneous leishmaniasis |
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Rare, dissemination of skin lesions occurs over face, hands and feet; high parasite numbers due to poor cell‐mediated immune response |
| Mucocutaneous leishmaniasis |
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1–3 months (may occur many years after the initial cutaneous ulcer has healed) |
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Mainly in South America, affects the nose, oral cavity and pharynx, resulting in difficulty in eating |