| 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 and extremities; 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. Involves the nose, oral cavity and pharynx resulting in difficulty with eating |
