Lower Lip Leishmaniasis Mimicking Squamous Cell Carcinoma

With a global prevalence estimated at 0.05-0.27% ofall cutaneous leishmaniasis (CL), and 2.7-4.9% of atypical clinical presentation of CT, lip leishmaniasis is one of the rarest unusual presentations of this disease. Its classically reported in immunocompromised patient, and represents a real diagnostic challenge for clinicians.
We present an original case of lower lip leishmaniasismimicking squamous cell carcinoma in 26-years-oldimmunocompetent Tunisian man.
As rare as it is, this atypical clinical presentation of CL deserves to be well known by clinicians, and should be considered in the differential diagnosis of lip lesions in patient living or traveling in Leishmania endemic area.

Keywords: zosteriform leishmaniasis, Cutaneous leishmaniasis, Lip, Atypical presentation, Leishmaniasis.