Document Type : Original Article
1 Rheumatic Diseases Research Center, Mashhad University of Medical Sciences
2 Fellow ship of rheumatology, school of medicine, Mashhad university of medical sciences
3 Professor of rheumatology, rheumatic diseases research center, Mashhad university of medical sciences
4 Assistant Professor of Rheumatology, Rheumatic Diseases Research Center, Mashhad University of Medical Sciences
5 Fellowship of Rheumatology, school of medicine, Mashhad university of medical sciences
Aim and Background: Cutaneous Leishmaniasis (CL) is the most prevalent type of leishmaniasis. Iran is among the first six countries in the world with the highest annual incidence of CL. Non-caseating granulomatous inflammatory cutaneous reaction is the most patterns of its skin lesions. The aim is presentation of a 36 years old man with a history of PAN vasculitis with extensive caseating granulomatous lesions who diagnosed as Cutaneous Leishmaniasis.
Conclusion: caseating granulomatous could present in CL, so it is recommended to consider leishmaniasis in diagnosis of this histological pattern, especially in autoimmune patients before starting immunosuppressive treatment.