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Leishmaniasis
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==Signs and symptoms== [[File:Leishmaniasis ulcer.jpg|thumb|right|Cutaneous leishmaniasis ulcer]] The symptoms of leishmaniasis are [[skin sores]] which erupt weeks to months after the person is bitten by infected sandflies. Leishmaniasis may be divided into the following types:<ref name="Andrews">{{cite book| first1 = William D | last1 = James | first2 = Timothy G | last2 = Berger | first3 = Dirk M | last3 = Elston |title=Andrews' Diseases of the Skin: clinical Dermatology |publisher=Saunders Elsevier |year=2006 |pages=422β428 |isbn=978-0-7216-2921-6 }}</ref> * [[Cutaneous leishmaniasis]] is the most common form, which causes an open sore at each bite site, which heals in a few months to a year and a half, leaving an unpleasant-looking [[scar]].<ref name=WHO2014/><ref name=Barrett2012/> ** Diffuse cutaneous leishmaniasis produces widespread skin lesions which resemble [[leprosy]], and may not heal on their own.<ref name=Barrett2012/> <span class="anchor" id="Mucocutaneous leishmaniasis"></span><!-- This Anchor tag serves to provide a permanent target for incoming section links. Please do not remove it, nor modify it, except to add another appropriate anchor. If you modify the section title, please anchor the old title. It is always best to anchor an old section header that has been changed so that links to it will not be broken. See [[Template:Anchor]] for details. This text is produced using {{subst:Anchor comment}} --> * [[Mucocutaneous leishmaniasis]] causes both skin and [[mucosa]]l ulcers with damage primarily of the nose and mouth.<ref name=WHO2014/><ref name=Barrett2012/> * [[Visceral leishmaniasis]] or ''kala-azar'' ('black fever') is the most serious form and is generally fatal if untreated.<ref name=WHO2014/> Other consequences, which can occur a few months to years after infection, include [[fever]], damage to the [[spleen]] and [[liver]], and [[anemia]].<ref name=WHO2014/> Leishmaniasis is considered one of the classic causes of a [[splenomegaly|markedly enlarged (and therefore palpable) spleen]]; the organ, which is not normally felt during the examination of the abdomen, may even become larger than the liver in severe cases.{{citation needed|date=May 2021}}
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