Atypical Presentation of Lupus Vulgaris: A Case Report

Lupus vulgaris is the most common form of cutaneous tuberculosis. It is acquired by inoculation from injury or by hematogenous spread from an infective focus. Clinically, it varies tremendously from erythematous plaque to destructive and perforating lesions. Thus the diagnosis of lupus vulgaris becomes a challenge to clinician at times. Atypical forms can mimic various other dermatological conditions leading to delay in diagnosis and increased morbidity. Here we report a rare presentation of lupus vulgaris which was mimicking mycetoma or osteomyelitis. Strong clinical suspicion, histopathology and response to anti-tubercular treatment led to the diagnosis. In this report, emphasis on the early diagnosis and prompt treatment is made. Keywords: Lupus vulgaris, mycetoma, osteomyelitis, atypical form, histopathology. Read more →