“…Some authors report the cutaneous form in five different phases: phase 1 consist of formation of small papule, phase 2 consist of larger lesions with red centered, white margins and lens shaped nodules, phase 3 consist of exudation, phase 4 is the regenerative phase leading to formation of black spots and crusts in the area of lesions and finally phase 5 is healing stage (Taghipour et al, 2015). Lesions generally appear on the fingers (Peterkin, 1937;Nagington and whittle, 1961;Ilic et al, 1986) and skin of hands (Oppermann and Stumpke, 1937;Carne et al, 1946;Dyar, 1951;Van De Kerk, 1954;Purdy, 1955;Kozlowski and Dziekonski, 1956;Liess 1962;Verdes et al, 1970;Hessami et al, 1979;Ilic et al, 1986;, mostly in the non dominant hand (Uzel et al, 2005) and occasionally on the chin (Kozlowski and Dziekonski, 1956), face (Peterkin, 1937), neck (Oppermann and Stumpke, 1937;, wrist (Schoch, 1939) and umbilicus (Kozlowski ans Dziekonski, 1956). Sometimes, extensive eruptions may be seen on almost all parts of body particularly hands , forearms, feed and legs with regional glandular swelling and thrombosis of retinal vein leading to permanent blindness of the eye (Royer et al, 1970;Bayindir et al, 2011).…”