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An 18-year-old Caucasian male presented with a six-month history of non-healing wound on his nose. The patient admitted that the lesion started as a small erythematous papule and it increased in size gradually. Thereafter, the lesion became ulcerated. It was painless, however bleeding occured when the patient scratched the lesion on the tip of his nose. The past medical history was unremarkable. The patient was living in a rural area of eastern Anatolia in Turkey. The physical examination revealed an erythematous, indurated, crusted plaque on the tip of the nose (Figs. 1 and 2). A skin biopsy was performed to reach a definitive diagnosis. The histopathological examination revealed cutaneous leishmaniasis. The patient was treated with intralesional meglumine antimoniate three times a week and cryotherapy every two weeks untill the lesion was completely healed.

A distinct cutaneous leishmaniasis lesion on the tip of the patient’s nose: A visual warning for European colleagues