Cutaneous leishmanasis (CL) may present with unusual clinical variants
such as acute paronychial, annular, palmoplantar, zosteriform,
erysipeloid, and sporotrichoid. The zosteriform variant has rarely been
reported. Unusual lesions may be morphologically attributed to an
altered host response or owing to an atypical strain of parasites in
these lesions. We report a patient with CL in a multidermatomal pattern
on the back and buttock of a man in Khozestan province in the south of
Iran. To our knowledge, this is the first reported case of
multidermatomal zosteriform CL. It was resistant to conventional
treatment but responded well to a combination of meglumine antimoniate,
allopurinol, and cryotherapy
