Primary cutaneous histoplasmosis in a HIV positive patient ie isolated cutaneous involvement without any deeper structures is a very rare entity. Only a handful cases have been reported worldwide. This patient presented with cutaneous lesion simulating Molluscum but histopathology revealed Histoplasma capsulatum. The patient had no deep organ involvement. The patient was put on Itraconazole which caused rapid dissolution of the lesions. He was subsequently put on HAART and discharged.