skin lesions, designated as nonulcerated or atypical cutaneous leishmaniasis (NUCL) caused by Leishmania (L.) infantum chagasi, have been reported. In Honduras, visceral leishmaniasis and NUCL are caused by the same aetiologic agent, Leishmania (L.) infantum chagasi, and occur in the same geographical area. It should be noted that these two clinical forms are independent; therefore, they do not occur simultaneously in patients. 1 We have reported that macroscopic lesions are mostly self-limiting, single, small (ranging from 3 to 5 mm), nodular and nonulcerated with the presence of a hypopigmented halo, 2 as previously described. 1 It is important to note that the size of the lesions did not correlate with the time of infection evolution. Microscopically, skin lesions in NUCL were characterized by a mononuclear inflammatory infiltrate in the dermis, with a predominance of lymphocytes,