Introduction : Leishmaniasis is a parasitic disease found in parts of the tropics, subtropics, and southern Europe. Leishmaniasis has several different forms. In this article, we will discuss a case of cutaneous leishmaniasis (CL), the most common form. Case presentation:Our case is a 36-year-old lady, presented with a large disfiguring lesion on her left arm expanding during the last three months. Systemic examination was unremarkable. Examination of her arm showed a 6x6cm erythematous crusted plaque covering her medial aspect of the distal forearm. Management and outcome:A biopsy was done and was suggestive of Leishmaniasis. She was diagnosed as CL and started on a course of systemic itraconazole along with cryotherapy. She was satisfied with the result after 4 sessions of cryotherapy and lost follow up. Discussion and Conclusions:We had a chance to see a full-blown lesion in our patient that was treated with systemic azole and cryotherapy as according to the guidelines and had a satisfying result for the patient. Although it is rare to have a full recovery, we were hoping to have a better result.