“…Hence, the clinical pictures of CL-HIV co-infection are determined by the interplay between the parasite species and host cell-mediated immune reaction giving the opportunity to ameliorate the clinical picture or trigger atypical presentation of CL and occurrence of reactivated CL lesions (24). Therefore, the clinical variants of CL in these patients are protean such as diffuse cutaneous, sporotrichoid, contact dermatitis-like, psoriasiform, erysipeloid, warty, impetigo-like, zosteriform, acneiform, and eczematoid variant (24)(25)(26)(27). Officially, contaminated blood brought the AIDS/HIV disease to Iraq in 1986, primarily affecting hemophilic patients.…”