More than 90% of patients infected with cutaneous leishmaniasis live in Afghanistan, the Middle East, Algeria, Brazil, and Peru. cutaneous leishmaniasis in Iran is caused by Leishmania tropica and Leishmania major. Most skin lesions evolve from papular to nodular, to ulcerative form with a central depression surrounded by a raised indurate border. Some lesions persist as nodules or plaques. Multiple primary lesions, satellite lesion, regional adenopathy and sporotrichoid subcutaneous nodules are variably present. This report presents an 18- yr-old man with sporotrichoid cutaneous leishmaniasis that is not common in the central Iran.