Lupus vulgaris of centrofacial area – a peculiar presentation

Arun Achar, Mrinal Besra, Arunasis Maiti, Priyaranjan Chatterjee, Chittaranjan Bar, Goutam Majumdar

Abstract


Lupus vulgaris is a cutaneous manifestation of Mycobacterium tuberculosis infection. It assumes various clinical forms including plaque, ulcerative, hypertrophic, vegetative, papular and nodular type. We here present an unusual case of a ten-year-old girl diagnosed as hypertrophic lupus vulgaris of centrofacial area including nose. Histopathological examination and bacteriological studies were carried out to establish the diagnosis. Unlike plaque type, hypertrophic variety is quite uncommon and only few cases have been reported. Its peculiar appearance on the face which is hardly described in previous literatures and well response to antitubercular therapy prompted us to report it.


Keywords


Lupus vulgaris, centrofacial, hypertrophic, ATD therapy

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References


Tappeiner G. Tuberculosis and infections with atypical mycobacteria. In: Wolff K, Goldsmith LA, Katz SI et al., editors. Fitzpatrick’s Dermatology in General Medicine, 7th edn. New York: McGraw- Hill; 2008. P. 184(1): 1769.

Yates VM. Mycobacterial infections. In: Burns T, Breathnach S, Cox N, Griffiths C, editors. Rook’s Textbook of Dermatology. 8th edn. London: Wiley-Blackwell; 2010. P. 31.10-17.

Ghorpade A. Tattoo inoculation lupus vulgaris in two Indian ladies. J Eur Acad Dermatol Venereol. 2006;20: 476-7.

Mysore V, Sacchidanand S, Rao KHS, editors. Dermatological Diseases: A Practical Approach. 1st edn. Bangalore: BI Publications; 2007.

Tan HH, Seow CS. A review of cutaneous granulomas and lupus vulgaris following BCG vaccination in a skin hospital in Singapore. Ann Acad Med Singapore. 2002;31:663-5.

Brain RT. Lupus vulgaris in vaccination scar. Proc R Soc Med. 1931;24:398-9.

Senol M, Ozcan A, Aydin A et al. Disseminated lupus vulgaris and papulonecrotic tuberculid: case report. Pediatr Dermatol. 2000;17:133-35.

Ramesh V. Sporotrichoid cutaneous tuberculosis. Clin Exp Dermatol. 2007;32:680-2.

Marcoral J, Servitje O, Moreno A et al. Lupus vulgaris: clinical, histologic and bacteriologic study of 10 cases. J Am Acad Dermatol. 1992;26:404-7.

Serfling U, Penneys NS, Loenardi CL. Identification of Mycobacterium tuberculosis DNA in a case of lupus vulgaris. J Am Acad Dermatol. 1993;28:318-22.

Sim DW, Crowther JA. Primary nasal tuberculosis masquerading as a malignant tumour. J Laryngol Otol. 1998;102:1150- 2.

Motswaledi MH, Doman C. Lupus vulgaris with squamous cell carcinoma. J Cutan Pathol. 2007;34:939-41.


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