Phlebotomus sandfly vector of Old World leishmaniasis. Courtesy of Centers for Disease Control and Prevention, Atlanta, GA, USA.

Small single shallow ulceration with rolled border at the edge of the nasal mucosa of L. braziliensis. From Bolognia, JL, Jorizzo JL, Schaffeer, JV, eds. Dermatology. 3rd edn. London, Saunders; 2012. Courtesy, Kalman Watsky, MD.

An inflamed and ulcerated ear of L. mexicana, or chiclero ulcer, may lead to cartilage destruction. From James WD, Berger T, Elston DMD, eds. Andrew’s Diseases of the Skin. 11th edn. London, Saunders; 2011.

A typical ulcer of L. major, with a shallow ulcer and rolled border. From Magill AJ, Ryan ET, Hill DR, Solomon T. eds. Hunter’s Tropical Medicine and Emerging Infectious Diseases. 9th edn. London, Saunders; 2013.