Lupus vulgaris: unusual presentations over the face

ABSTRACT Lupus vulgaris (LV) is the most common morphological variant of cutaneous tuberculosis. However, the occurrence of bizarre clinical presentations over atypical sites often leads to misdiagnosis and inappropriate treatment causing significant morbidity. This report seeks to highlight two unu...

Full description

Saved in:
Bibliographic Details
Published in:Journal of the European Academy of Dermatology and Venereology 2003-11, Vol.17 (6), p.706-710
Main Authors: Khandpur, S, Reddy, BSN
Format: Article
Language:English
Subjects:
Adult
Antitubercular Agents - therapeutic use
basal cell carcinoma
Biopsy, Needle
Carcinoma, Basal Cell - diagnosis
Carcinoma, Basal Cell - pathology
Cellulitis - diagnosis
Cellulitis - pathology
Diagnosis, Differential
Facial Dermatoses - pathology
Female
Follow-Up Studies
Humans
Immunocompetence
Immunohistochemistry
lupus vulgaris
Lupus Vulgaris - diagnosis
Lupus Vulgaris - drug therapy
Lupus Vulgaris - pathology
Middle Aged
periorbital cellulitis
Risk Assessment
Severity of Illness Index
Skin Neoplasms - diagnosis
Skin Neoplasms - pathology
Treatment Outcome
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:ABSTRACT Lupus vulgaris (LV) is the most common morphological variant of cutaneous tuberculosis. However, the occurrence of bizarre clinical presentations over atypical sites often leads to misdiagnosis and inappropriate treatment causing significant morbidity. This report seeks to highlight two unusual cases of lupus vulgaris occurring on the face of immunocompetent women and remarkably mimicking periorbital cellulitis and basal cell carcinoma, respectively. The diagnosis was confirmed by histopathology, an enzyme‐linked immunosorbent assay (ELISA) test for Mycobacterium tuberculosis and polymerase chain reaction (PCR). With four‐drug antitubercular therapy, both patients had a dramatic response.
ISSN:0926-9959
1468-3083
DOI:10.1046/j.1468-3083.2003.00838.x