Careful questioning when taking case history is essential . There is no anaethesia in the lesions. Mostly the small ring-like patches are seen on the dorsum of the hand . Unlike a leprosy patch, these are always itchy and the fungi can be seen under the microscope. There is no loss of sensations.
Lesions are usually circumoral.
L.D. bodies are seen in Leishman-stained slides. Sensations are preserved. Usually butterfly shaped and symetrically distributed over the face with no loss of feeling. Feeling is well preserved. These are multiple, small nodules, which can cover the whole body.