Cutaneous leishmanias is a great simulator either by its clinical aspect, or by its location. We report the observation of a child who presented with psoriasiform and plantar impetiginoid plaque progressing for 3 months, first suggesting plantar psoriasis. The dermoscopic examination reoriented the diagnosis by objectifying salmon areas related to a granulomatous infiltrate. The smear confirmed the presence of leishmanian bodies. The plaque completely regressed after treatment with intralesional pentavalent antimony. The psoriasiform appearance, as well as the plantar location was puzzling elements, however, the dermoscope was a very useful tool in guiding the diagnosis.
Author(s): Elloudi S*, Ammari S, Bay Bay H, Douhi Z, Mernissi FZ
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