Features which may enter in to the decision to treat the patient:
(1) It is early in the course of the infection, with lesions still evolving.
(2) The patient has multiple skin lesions.
(3) The skin lesions are causing problems (disfigurement, difficulty in wearing shoes, difficulty in wearing clothing, restriction in joint mobility).
(4) The patient has mucosal lesions.
(5) Skin lesions are visible when the patient is clothed (on exposed skin).
(6) The largest lesion is > 5 cm in diameter.
(7) The patient is immunocompromised.
(8) The patient is very bothered by the lesions.
(9) The causative species is L. braziliensis.
If none of these features are present then the patient may not need to be treated.
