Lupoid Cutaneous Leishmaniasis: An Atypical and Defiant Presentation of the Disease

Cutaneous leishmaniasis (CL) is one of the most endemicand neglected diseases worldwide, still representingan important public health problem.
The clinical presentations of this infection are very polymorphic and sometimes very difficult to diagnose. Among the lesions described as “atypical” or “unusual” for CL, the “lupoid” form is exceptional and very defiant for clinicians in current medical practice.
We present an original case of lupoid CL with double localization on the face and the trunkin a young immuno competent Tunisian managed 33 years.
As rare as it is, this atypical clinical presentation of CL deserves to be well known by clinicians, particularly those in first line consultations in order to avoid permanent scars.

Keywords: Cutaneous leishmaniasis, Lupoidleishmaniasis , Atypical presentation,Lupus-like.