Navigating the complexities: a case report on the varied presentation of lupus vulgaris
DOI:
https://doi.org/10.18203/issn.2455-4529.IntJResDermatol20240974Keywords:
Lupus vulgaris, Cutaneous tuberculosis, Cutaneous granulomatous diseaseAbstract
A 16-year-old female presented with an asymptomatic lesion in the right axilla, evolving over six months into a scaly, erythematous to brownish-colored plaque with associated axillary lymphadenopathy. Routine investigations revealed mild anemia, elevated erythrocyte sedimentation rate (ESR), and a positive Mantoux test. Histopathological examination confirmed lupus vulgaris, characterized by tuberculoid granulomas within the superficial dermis. Treatment with anti-tubercular therapy led to significant lesion improvement. Lupus vulgaris, a form of cutaneous tuberculosis, presents varied clinical features and poses diagnostic challenges. Early recognition and prompt treatment are essential to prevent morbidity and scarring. This case highlights the importance of considering lupus vulgaris in differential diagnosis of atypical cutaneous lesions, contributing to better disease management and reduced morbidity.
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Kaul S, Kaur I, Mehta S, Singal A. Cutaneous tuberculosis. Part I: Pathogenesis, classification, and clinical features. J Am Acad Dermatol. 2023;89(6):1091-103.
Gavazzoni Dias MFR, Filho FB, Quaresma MV, Do Nascimento LV, Da Costa Nery JA, Azulay DR. Update on cutaneous tuberculosis. An Bras Dermatol. 2014;89(6):925-38.
Handog EB, Gabriel TG, Pineda RT. Management of cutaneous tuberculosis. Dermatol Ther. 2008;21(3):154-61.
Burns T, Breathnach S, Cox N, Griffiths C, editors. Rook's Textbook of Dermatology. 8th ed. West Sussex (UK): Wiley-Blackwell Publications; 2010;31:16-9.
Kumar B, Muralidhar S. Cutaneous tuberculosis-A 20 year prospective study. Int J Tuberc Lung Dis. 1999;3:494-500.
Sacchidanand S, Sharavana S, Mallikarjun M, Nataraja HV. Giant lupus vulgaris: A rare presentation. Indian Dermatol Online J. 2012;3:34-6.
Valia RG, Valia AR, editors. IADVL Textbook of Dermatology. 3rd ed. Vol. 1. Mumbai, India: Bhalani Publishing House. 2008;245-6.
Rao GRR, Sridevi, Narayan BL, Amareswar A, Sandhya S. Directly observed treatment short course and cutaneous tuberculosis: our experience. Indian J Dermatol Venereol Leprol. 2011;77(3):330-32.
Khandpur S, Reddy BSN. Lupus vulgaris: unusual presentations over the face. J Eur Acad Dermatol Venereol. 2003;17(6):706-10.
Wozniacka A, Schwartz RA, Sysa-Jedrzejowska A, Borun M, Arkuszewska C. Lupus vulgaris: report of two cases. Int J Dermatol. 2005;44(4):299-301.
Senol M, Ozcan A, Mizrak B, Turgut AC, Karaca S, Kocer H. A case of lupus vulgaris with unusual location. J Dermatol. 2003;30(7):566-9.
Ceylan C, Gerceker B, Ozdemir F, Kazandi A. Delayed diagnosis in a case of lupus vulgaris with unusual localization. J Dermatol. 2004;31(1):56-9.
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