Tick Mistaken as a Mole

Ticks are blood sucking ectoparasites of vertebrates. They are vectors for the transmission of a number of viral, rickettisal and bacterial diseases. Humans become accidental hosts when they enter in tick infested area. Tick bite presents with varied cutaneous manifestations. Sometimes the attached tick is mistaken for skin lesions such as traumatized, papillomatousnaevus, melanoma or mole. We here presented a case of a female who suspected tick as a mole. The tick was carefully removed. If clinician is aware of ticks, diagnosis can be easily made by close inspection of tick. This case report suggests that tick bite should be kept in differential diagnosis of sudden onset pigmented skin lesion.