Case-based review

Cutaneous leishmaniasis is an infectious disease that is caused by protozoa belonging to the genus Leishmania and typically manifests with a single lesion on sun exposed areas. It is frequent in the Mediterranean Basin where it is most commonly due to Leishmania Infantum. In the literature, there is a number of reports describing atypical presentations, including that manifesting with multiple lesions or those mimicking other conditions, such as infections, tumours and inflammatory diseases. Here, we describe a case of cutaneous leishmaniasis with two unusual aspects: the multifocal presentation and the fact that it resembled sarcoidosis, a systemic granulomatous disease whose cutaneous picture is also polymorphous.