Lupus vulgaris associated with Scrofuloderma

Lupus vulgaris is a rare manifestation of tuberculosis. It is even rarer for it to complicate scrofuloderma. We report a case of a 27-year-old man who had undergone a successful treatment for pulmonary tuberculosis presenting with scrofuloderma with lesions of lupus on the overlying skin. The Mantou...

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Bibliographic Details
Published in:Sahel medical journal 2014-01, Vol.17 (1), p.34-36
Main Authors: Tuli, Isha, Verma, Shikha, Thakur, Binod, Joshi, Deepti
Format: Article
Language:English
Subjects:
Care and treatment
Case studies
Causes of
Diagnosis
Lupus
Lupus vulgaris
Mycobacterium tuberculosis
scrofuloderma
Skin
Tuberculosis
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Summary:Lupus vulgaris is a rare manifestation of tuberculosis. It is even rarer for it to complicate scrofuloderma. We report a case of a 27-year-old man who had undergone a successful treatment for pulmonary tuberculosis presenting with scrofuloderma with lesions of lupus on the overlying skin. The Mantoux test was positive and initial chest X-ray did not show any active features of tuberculosis. Discharge from the lesion stained positive for acid fast bacilli. Multiple fine needle aspirations were inconclusive. However the histopathology of biopsied lesion revealed tuberculoid granuloma with Langhans giant cells. TThe patient improved with antitubercular therapy. We are presenting this case as a rare coexistence of scrofuloderma with lupus vulgaris.
ISSN:1118-8561
2321-6689
DOI:10.4103/1118-8561.129152