Multiple cutaneous leishmaniasis: A report of three cases

Leishmaniasis is a parasitic disease produced by different protozoa of the Leishmania genus. This disease is considered endemic in many countries, including Spain. Visceral, mucocutaneous or cutaneous involvement may occur. The latter is the most frequent form of the disease and clinical manifestations depend on the interaction among series of parasite and host-related factors. The typical form of the disease in Spain, also known as «Oriental sore», consists of solitary red papules, located in exposed parts of the body. We report three patients who had lived in or recently traveled to areas where leishmaniasis is endemic and who presented with multiple lesions of cutaneous leishmaniasis, displaying clinical features uncommon in Spain. Forms of leishmaniasis with multiple lesions and those with clinical features different from the typical «Oriental sore» can hamper diagnosis, resulting in an inappropriate treatment.