الليشمانيا الجلدية في الحمل — عندما لا يحقق التدبير المحافظ الأولي الشفاء الكامل للآفة

As none of the systemic treatments are known to be safe during pregnancy, systemic treatment should be withheld until after delivery; topical treatment may be applied before.

In rare situations when lesion location, size, impact and persistence, despite local therapy, require systemic therapy, liposomal amphotericin B probably has the best benefit : risk ratio.