*skin manifestation after completion of Tx of visceral leishmaniasis
**macular type, papular type, nodular type
**possibly 5-10% of VL patients
**incidence 4.8/1000 in India
*''Leishmania'' may be detected from skin specimen in some cases
**possible skin is contagious**reservoir*diagnosis**history of VL**rK39*treatment**no good evidence**miltefosine for 12 weeks