Conclusion
Lupoid CL can be manifested as an uncommon form that can mimic many other skin disorders as lupus vulgaris. Hence, the physicians living in nonendemic areas should never overlook that many unusual lesions might be caused by Leishmania. Any ignoring may be resulted in missed and delay the precise diagnosis, submitting the patients to inappropriate prescribing of drugs, increased resistance to treatment, worsening the clinical presentation, and contributing to the transmission chain of the parasite. Correct and reliable identification of parasite might contribute for breaking the chain of transmission of the parasite and decrease the prevalence. Diagnosis of CL should be performed in all patients from endemic areas of Leishmaniasis by both microscopic examination of Giemsa stained smears and PCR and identified of Leishmania species by using a PCR-RFLP technique.