First description of bullous lupus associated with cutaneous leishmaniasis: coincidence or trigger?

American cutaneous leishmaniasis is endemic in French Guiana with an annual incidence rate estimated between 15 and 20 new cases per 10,000 inhabitants.1 To our knowledge, the association of cutaneous leishmaniasis with bullous lupus has never been described so far. (b) Hematoxylin and eosin stain (×600) of a cutaneous biopsy showing a blister lesion with dermal-epidermal cleavage, focal keratinocyte necrosis, and perivascular lymphocyte-dominant inflammatory infiltrate gl A bullous lupus associated with cutaneous leishmaniasis was diagnosed. [Extracted from the article]