Subject(s)
Lupus Vulgaris , Mycobacterium bovis , Humans , Lupus Vulgaris/diagnosis , Lupus Vulgaris/microbiologySubject(s)
Ear Auricle/pathology , Lupus Vulgaris/diagnosis , Skin/pathology , Adult , Antitubercular Agents/therapeutic use , Dermatomycoses/diagnosis , Diagnosis, Differential , Drug Therapy, Combination , Ear Auricle/immunology , Ear Auricle/microbiology , Female , Humans , Leishmaniasis, Cutaneous/diagnosis , Leprosy/diagnosis , Lupus Vulgaris/drug therapy , Lupus Vulgaris/immunology , Lupus Vulgaris/microbiology , Mycobacterium tuberculosis/immunology , Mycobacterium tuberculosis/isolation & purification , Sarcoidosis/diagnosis , Skin/immunology , Skin/microbiology , Tuberculin TestABSTRACT
Most common form of cutaneous tuberculosis (TB) is lupus vulgaris (LV). Atypical presentation of LV is rare and may lead to delay in diagnosis and hence increase in morbidity. Here, we report a case of sporotrichoid form of LV in a 38 year old male who presented as cutaneous lesions mimicking mycetoma. High index of clinical suspicion and relevant investigations play a vital role in confirmation of diagnosis wherever atypical form of cutaneous TB is suspected.
Subject(s)
Lupus Vulgaris/diagnosis , Tuberculosis, Cutaneous/diagnosis , Adult , Antitubercular Agents/therapeutic use , Diagnosis, Differential , Humans , Lupus Vulgaris/drug therapy , Lupus Vulgaris/microbiology , Male , Mycetoma/diagnosis , Sporotrichosis/diagnosis , Tuberculosis, Cutaneous/complications , Tuberculosis, Cutaneous/microbiologySubject(s)
Carcinoma, Squamous Cell/microbiology , Erythema/microbiology , Hand Dermatoses/microbiology , Lupus Vulgaris/microbiology , Skin Neoplasms/microbiology , Skin Ulcer/microbiology , Carcinoma, Squamous Cell/pathology , Carcinoma, Squamous Cell/surgery , Cell Differentiation , Erythema/pathology , Erythema/surgery , Female , Hand Dermatoses/pathology , Hand Dermatoses/surgery , Humans , Lupus Vulgaris/pathology , Lupus Vulgaris/surgery , Middle Aged , Skin Neoplasms/pathology , Skin Neoplasms/surgery , Skin Transplantation , Skin Ulcer/pathology , Skin Ulcer/surgery , Treatment OutcomeABSTRACT
Cutaneous tuberculosis (TB) has several clinical manifestations. The most common forms include cervical scrofuloderma and plaque type of lupus vulgaris (LV), otherwise the rare cases including inguinal scrofuloderma, ulcerative LV, and acute miliary TB. The highlight of this case series was to report various rare clinical manifestations of cutaneous TB.
Subject(s)
Lupus Vulgaris/diagnosis , Tuberculosis, Cutaneous/complications , Tuberculosis, Cutaneous/diagnosis , Tuberculosis, Miliary/diagnosis , Adult , HIV Infections/complications , HIV Infections/microbiology , Humans , Lupus Vulgaris/microbiology , Male , Middle Aged , Mycobacterium tuberculosis/isolation & purification , Skin/microbiology , Skin/pathologySubject(s)
Antitubercular Agents/therapeutic use , Dermatitis/diagnosis , Lupus Vulgaris/diagnosis , Mycobacterium tuberculosis/drug effects , Aged , Biopsy , Dermatitis/drug therapy , Dermatitis/microbiology , Dermatitis/pathology , Ethambutol/therapeutic use , Female , Humans , Isoniazid/therapeutic use , Lupus Vulgaris/drug therapy , Lupus Vulgaris/microbiology , Lupus Vulgaris/pathology , Mycobacterium tuberculosis/growth & development , Mycobacterium tuberculosis/pathogenicity , Nose/microbiology , Nose/pathology , Rifampin/therapeutic use , Treatment OutcomeSubject(s)
Antitubercular Agents/therapeutic use , Ear Diseases/diagnosis , Ear Diseases/drug therapy , Ear, External/pathology , Lupus Vulgaris/diagnosis , Lupus Vulgaris/drug therapy , Adult , Ear Diseases/microbiology , Ear, External/microbiology , Female , Humans , Lupus Vulgaris/microbiology , Treatment OutcomeABSTRACT
A small percentage of patients with tuberculosis present with cutaneous findings, which may be difficult to diagnose. We present a patient diagnosed with a rare, non-scarring form of cutaneous tuberculosis (CTB), classically termed as lupus vulgaris erythematoides.
Subject(s)
Diagnostic Errors , Facial Dermatoses/diagnosis , Lupus Vulgaris/diagnosis , Nose Diseases/diagnosis , Adrenal Cortex Hormones/adverse effects , Adrenal Cortex Hormones/therapeutic use , Aged, 80 and over , Anti-Bacterial Agents/therapeutic use , Antitubercular Agents/therapeutic use , Biopsy , Calcineurin Inhibitors , Dermis/pathology , Drug Therapy, Combination , Eczema/diagnosis , Erythema/etiology , Facial Dermatoses/drug therapy , Facial Dermatoses/microbiology , Female , Histiocytosis, Langerhans-Cell/etiology , Histiocytosis, Langerhans-Cell/pathology , Humans , Immunosuppressive Agents/adverse effects , Immunosuppressive Agents/therapeutic use , Isoniazid/therapeutic use , Lupus Vulgaris/complications , Lupus Vulgaris/drug therapy , Lupus Vulgaris/microbiology , Mycobacterium tuberculosis/isolation & purification , Necrosis , Nose Diseases/drug therapy , Nose Diseases/microbiology , Pyrazinamide/therapeutic use , Rifampin/therapeutic useABSTRACT
Lupus vulgaris is one of the most common forms of cutaneous tuberculosis. It presents a diagnostic challenge due to its paucibacillary nature. This is a report of a case of a delayed diagnosis of lupus vulgaris, presenting as perianal and peristomal plaques, followed by a review of the diagnostic tools for lupus vulgaris and their limitations.
Subject(s)
Lupus Vulgaris/microbiology , Lupus Vulgaris/pathology , Mycobacterium tuberculosis/isolation & purification , Anal Canal , Antitubercular Agents/therapeutic use , Delayed Diagnosis , Gastrostomy , Humans , Lupus Vulgaris/drug therapy , Male , Middle AgedSubject(s)
Antitubercular Agents/therapeutic use , Diagnostic Errors , Isoniazid/therapeutic use , Lupus Vulgaris/drug therapy , Mycobacterium tuberculosis/isolation & purification , Skin/drug effects , Aged , Bacteriological Techniques , Chronic Disease , DNA, Bacterial/isolation & purification , Drug Therapy, Combination , Ethambutol/therapeutic use , Humans , Lupus Vulgaris/diagnosis , Lupus Vulgaris/microbiology , Lupus Vulgaris/pathology , Male , Mycobacterium tuberculosis/genetics , Polymerase Chain Reaction , Predictive Value of Tests , Rifampin/therapeutic use , Skin/microbiology , Skin/pathology , Time Factors , Treatment Outcome , Tuberculin TestABSTRACT
Lupus vulgaris is the most common chronic, progressive form of cutaneous tuberculosis. Lesions are generally solitary and found on the head and neck region. Cutaneous tuberculosis can present with different clinical appearances. Therefore, it does not necessarily have characteristic findings and can be difficult to diagnose. Although there were typical clinical findings, the diagnosis of our case was delayed because of its asymptomatic course.
Subject(s)
Lupus Vulgaris/microbiology , Lupus Vulgaris/pathology , Delayed Diagnosis , Female , Humans , Lupus Vulgaris/diagnosis , Lupus Vulgaris/drug therapy , Middle Aged , Mycobacterium tuberculosis/isolation & purificationSubject(s)
Humans , Male , Female , Lupus Vulgaris/complications , Lupus Vulgaris/diagnosis , Lupus Vulgaris/therapy , Mycobacterium bovis/isolation & purification , Mycobacterium bovis , Lupus Vulgaris/etiology , Lupus Vulgaris/microbiology , Lupus Vulgaris/physiopathology , Mycobacterium bovis/metabolism , Mycobacterium bovis/pathogenicitySubject(s)
Emigrants and Immigrants , Facial Dermatoses/diagnosis , Lupus Vulgaris/diagnosis , Adult , Africa, Northern/ethnology , Antitubercular Agents/therapeutic use , Facial Dermatoses/drug therapy , Facial Dermatoses/microbiology , Female , Humans , Isoniazid/therapeutic use , Lupus Vulgaris/drug therapy , Lupus Vulgaris/epidemiology , Lupus Vulgaris/microbiology , Mycobacterium tuberculosis/isolation & purification , Pyrazinamide/therapeutic use , Rifampin/therapeutic use , Skin/microbiology , Spain/epidemiologySubject(s)
Lupus Vulgaris/microbiology , Mycobacterium bovis/isolation & purification , Aged , Antitubercular Agents/therapeutic use , Axilla , Drug Therapy, Combination , Humans , Isoniazid/therapeutic use , Lupus Vulgaris/diagnosis , Lupus Vulgaris/drug therapy , Lupus Vulgaris/pathology , Male , Pyrazinamide/therapeutic use , Rifampin/therapeutic use , Tuberculoma/drug therapy , Tuberculoma/microbiology , Tuberculoma/pathology , Tuberculosis, Lymph Node/diagnostic imaging , Tuberculosis, Lymph Node/drug therapy , Tuberculosis, Lymph Node/microbiology , Tuberculosis, Lymph Node/pathology , UltrasonographySubject(s)
Facial Dermatoses/microbiology , Lupus Vulgaris/microbiology , Mycobacterium bovis , Adult , Antitubercular Agents/therapeutic use , Drug Therapy, Combination , Facial Dermatoses/pathology , Female , Humans , Lupus Vulgaris/pathology , Mycobacterium bovis/isolation & purification , Neck , Treatment OutcomeABSTRACT
The morphological diagnosis of the plaque form of lupus vulgaris was made on the basis of distinct clinical features. An endeavor to supplement this diagnosis was made through laboratory investigations comprising total differential leukocyte count,erythrocyte sedimentation rate (ESR), immunoglobulin M (IgM), and polymerase chain reaction (PCR); the results of which were largely ambiguous. Regimented anti-tubular therapy (ATT) was utilized to arrive at the diagnosis. A perceptible regression of the lesions over the course of 6 weeks was remarkably beneficial to completing the treatment subsequently. ATT seems to bea feasible and well-conceived tool in the diagnosis of lupus vulgaris tuberculosis verrucosa cutis and pediatric scleroderma.