Diagnosis of CL

High index of suspicioun for CL should be made in patients coming from endemic areas with skin lesions. Although the common clinical appearance is papular or nodular lesions, a wide variety of appearance is possible. Papular, nodular, plaque, crusted, ulcerated and wart-like lesions are all possible.

Bacterial and fungal skin infections, leprosy, Kaposi sarcoma and other skin tumors, anthrax and eczema can be differential diagnosis for CL.

Diagnostic confirmation can be done by aspiration from the lesion or taking scraping and doing microscopy or biopsy examinations from the lesions. Aspiration has to be taken from the raised edge or nodular part of the lesion by a 10cc syringe and creating vacuum and sucking.

Serological tests are not helpful for CL diagnosis.