Unusual Presentations of Cutaneous Leishmaniasis in Two Iranian Patients

Leishmaniasis affects 1.5-2 million new cases in the world annually. two major complications of cutaneous leishamaniasis include diffuse cutaneous leishamaniasis (dcl ) occurring in the setting of deficient cell mediated immunity, typically with hiv infection, and chronic cutaneous leishamaniasis (ccl ) developing in approximately 4% of l. tropica infections in iran and afghanistan which also may complicate vaccination with a live strain of eishmania (leishmanization). the iran – iraq war took place in a hyper endemic area of old-world cutaneous leishmaniasis. we report two iranian soldiers who were both infected in the battle field and presented several years after the war; one was an hiv positive patient with dcl and the other was a previously leishmaniazed patient with ccl.