Sir, Childhood cutaneous tuberculosis may constitute 18.7-53.9% of all cutaneous tuberculosis cases. Majority of such cases are seen in children aged 10-14 years and most common clinical type of cutaneous tuberculosis is scrofuloderma, followed by lupus vulgaris. Lupus vulgaris in children is mostly seen on trauma prone parts, usually on legs, knees, thighs, buttocks and feet. [1] However, other sites too may be affected, depending upon the site of inoculation of infective agent. For example, lupus vulgaris at Bacillus Calmette-Guérin (BCG) vaccination site is well-known. [2] We report a case of the young girl presenting with lupus vulgaris of both ear following ear piercing.

Proteus syndrome is a rare condition with a wide spectrum of abnormalities. It is characterized by hamartomatous malformations involving multiple organs. Serious complications may ensue, such as pulmonary embolism, cystic lung disease, and various neoplasms such as parotid adenomas, ovarian cystadenomas, and meningiomas. We report here a case of Proteus syndrome in a 21-year-old woman who had facial hemihypertrophy, cerebriform plantar hyperplasia, hemimegalencephaly, and meningioma for the rarity of the entity.

Autoinoculation may be an effective therapeutic modality for cutaneous warts and two sessions may be required for optimum results.