Facial lupus vulgaris neglected for 50 years

Hjira, Naoufal; Frikh, Rachid; Boudhas, Adil; Baba, Noureddine; Oukabli, M.; Boui, Mohammed

doi:10.4103/jdds.jdds_4_18

Cited by 3 publications

(4 citation statements)

References 9 publications

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“…Lupus vulgaris, or the “wolf” form (given to the lesion as a result of its ulcerating and devouring nature), is a chronic, progressive form of tuberculosis that is rarely recorded [ 10 ]. It spreads incessantly from an internal focus, hematogenously or lymphatically, or rarely from external sources (biologic liquids) like infected droplets [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

Lupus Vulgaris Plaque Type on the Face Without Pulmonary Involvement: A Rare Case

Yadav

2024

Cureus

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Cutaneous tuberculosis is a rare finding with a difficult diagnosis. This is mainly due to the low sensitivity and specificity of almost all diagnostic tests, accompanied by ambiguity in clinical presentations and non-specific clinical features. A 25-year-old Indian male is presented who reported having a thick, scaly lesion on the left side of his face. A definite diagnosis was achieved after a detailed clinical examination and a detailed diagnostic workup that involved a biopsy. He was put on antituberculous chemotherapy for six months.

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Section: Discussionmentioning

confidence: 99%

Lupus Vulgaris Plaque Type on the Face Without Pulmonary Involvement: A Rare Case

Yadav

2024

Cureus

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“…reported that therapeutic trials with antituberculosis therapy are justified if clinical suspicion is strong where diagnosis can be made based on therapeutic response. [ 1 ] Vora et al . stated that even histopathological examination and PCR can also complicate the establishment of diagnosis due to the paucibacillary nature of the disease.…”

Section: Discussionmentioning

confidence: 99%

“…Tuberculosis (TB) is still a problem in the developed and underdeveloped countries, and cutaneous TB is a small part of extrapulmonary forms. Two most common forms of cutaneous TB are lupus vulgaris and scrofuloderma [ 1 , 2 ]. Tuberculosis verrucosa cutis is a less common paucibacillary form of cutaneous TB caused by exogenous reinfection in sensitized people.…”

Section: Introductionmentioning

confidence: 99%

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Successful diagnosis and management of tuberculosis verrucosa cutis using antituberculosis therapy trial approach

et al. 2020

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Tuberculosis verrucosa cutis is a paucibacillary form of cutaneous tuberculosis that often occurs in sensitized immunocompetent individuals due to exogenous reinfection. The diagnosis is often difficult because the clinical features are often not typical and acid-fast staining test often shows negative results. Therapeutic trial with antituberculosis therapy is justified if there is strong clinical suspicion in which diagnosis can be made based on the therapeutic response. We report a 46-year-old male with erythematous verrucous plaque on the right knee and crusted erythematous plaque on the left dorsal foot that had been present for 20 years. There were neither history of previous trauma nor tuberculosis treatment. Histopathology, culture, polymerase chain reaction (PCR), Mantoux test, and chest radiograph were negative for cutaneous tuberculosis. Gamma release interferon assay showed positive result. The patient was given category 1 antituberculosis treatment and showed improvement after three weeks. Treatment was continued for 6 months and the lesion significantly regressed.

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Orofacial Granulomatosis Secondary to Cutaneous Tuberculosis: An Atypical Presentation

Maheshwari,

Sethi,

Paridhi

et al. 2024

Clinical Dermatology Review

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Cutaneous tuberculosis (TB) makes up a small proportion of extrapulmonary TB. Studies from India report an incidence of 0.1% of all cases of extrapulmonary TB. Lupus vulgaris (LV) is a common form of TB which is usually seen in individuals who have been previously sensitized with Mycobacterium TB. Here, we are reporting a case of orofacial granulomatosis in a 21-year-old female which highlights the importance of histopathology in aiding diagnosis in such patients where multiple etiologies may be responsible for a particular clinical presentation, along with the atypical presentation of LV.

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Facial lupus vulgaris neglected for 50 years

Cited by 3 publications

References 9 publications

Lupus Vulgaris Plaque Type on the Face Without Pulmonary Involvement: A Rare Case

Lupus Vulgaris Plaque Type on the Face Without Pulmonary Involvement: A Rare Case

Successful diagnosis and management of tuberculosis verrucosa cutis using antituberculosis therapy trial approach

Orofacial Granulomatosis Secondary to Cutaneous Tuberculosis: An Atypical Presentation

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