Document Type : Case Report

Authors

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

10.32592/RR.2021.6.3.157

Abstract

Cutaneous Leishmaniasis is the most prevalent type of leishmaniasis. Iran is among the first six countries in the world with the highest annual incidence of cutaneous Leishmaniasis. Non-caseating granulomatous inflammatory cutaneous reaction is the most common pattern of its skin lesions. The current article presents the case of a 36-year-old man with a history of polyarteritis nodosa vasculitis with extensive caseating granulomatous lesions who was diagnosed with cutaneous leishmaniasis. Caseating granulomatous can present in cutaneous Leishmaniasis; thus, it is recommended to consider leishmaniasis in the diagnosis of this histological pattern, especially in autoimmune patients before starting immunosuppressive treatment.

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