Pseudo-Tumoral Cutaneous Leishmaniasis

A 53-year-old man from a rural area in Tunisia presented with a 2 month history of asymptomatic and persistent vegetating lesion on the dorsal aspect of the right ankle (Figure 1). Physical examination showed a 15 x 6 cm vegetating and pseudo-tumoral lesion with a papillomatous aspect and large ulceration on surface, a soft moist consistency and an indurated base (Figure 2). The rest of the examination was unremarkable. Optical examination of the smears (taken from two sites), after May–Grünwald–Giemsa staining, revealed amastigote forms of the leishmania parasite. Polymerase-chain-reaction (PCR) assay identified Leishmania Major (L. major). The diagnosis of pseudo-tumoral cutaneous leishmaniasis (CL) was confirmed. The patient was treated with meglumine antimoniate intramuscular (60 mg/kg/day) during three weeks. There was a modest and partial response to treatment. Short Communication Open Access American Research Journal of Dermatology ISSN: 2642-2980 Volume 1, Issue 1, pp: 1-3