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.