Butterfly rash due to cutaneous leishmaniasis.

A remarkable spectrum of clinical expressions of cutaneous leishmaniases is observed in humans ranging from nodular, hyperkeratotic, sporotrichoid, erysipeloid, zosteriform, eczematoid, warty, impetiginized and lupoid forms. Uncommon forms may also be observed. This case describes a 55-year-old lady who apparently looked liked offering from systemic lupus erythematosis due to butterfly distribution of a rash on face. She was misdiagnosed till laboratory tests including histopathology revealed that her lesion was due to cutaneous leishmaniases. Due to cosmetically sensitive site, treatment was started with antimonials and she improved considerably in 3 weeks with diminution in swelling and rubescence.