Cutaneous leishmaniasis (CL) is a parasitic disease which is hyperendemic in Isfahan, usuallycaused by L.major andL.tropica. Herein we report a patient with postmastectomy lymphedema on right upper limb accompanying with the lesions of cutaneous leishmaniasis on the right and left forearms. Following radiotherapy, the lesions on the limb with lymphedema were disseminated. But the lesions on left side showed no change. This finding may be theresult of Immune disorder due to lymphedema and radiotherapy.

Through my research, I have come to understand that women who have undergone a significant body change due to trauma, surgery, or disease find viewing their bodies in a mirror is an emotionally charged, distressing experience. In this editorial, I focus on the experience of viewing self in the mirror postmastectomy, a nursing education intervention gleaned from an understanding of this experience, and this debate: Should we wait on randomized control trials (RCTs) prior to implementing interventions for the mirror experience for those women who will have a mastectomy OR is this a case in which we should abandon the hierarchy of evidence?

Background and purpose: Congenital Lymphedema is a kind of primary Lymphedema caused by on abnormality in the Lymphatic system and causes the Lymph accumulation in the interstitial space. It usually appears within the first two gears of life with mild to severe swelling in one organ together with lethal complications and disseminated as it may be misdiagnosed with acquired edematous diseases particularly in infancy, this, case report is intended to present the disease with clinical indices and paraclinical evaluation.Case report: A fourteen–month-old patient suffering from congenital Lymphedema is reported here who had been referred to Dr.sheik Hospital in Mashad, Iran as nephritic syndrome. The case was treated after congenital Lymphedema diagnosis was established.Conclusion: Congenital Lymphedema is often mistaken with acquired edematous diseases and particularly in infancy with nephritic syndrome. There fore, the knowledge of clinical indices and paraclinical evaluation are necessary for perfect diagnosis.