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. 2006 Oct;82(972):649–657. doi: 10.1136/pgmj.2006.047340

Table 3 Disease patterns in leishmaniasis .

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