Family history of tuberculosis as a pointer towards diagnosis of ulcerative lupus vulgaris on trunk

Ulcerative lupus vulgaris on trunk

Authors

  • Pooja Bains Department of Dermatology, Venereology & Leprology, Sri Guru Ram Das University of Health Sciences, Amritsar, India
  • Sunil Grover Department of Chest & TB, Sri Guru Ram Das University of Health Sciences, Amritsar, India
  • Manisha Sharma Department of Pathology, Sri Guru Ram Das University of Health Sciences, Amritsar, India

DOI:

https://doi.org/10.66344/jpad.34.1.2024.2409

Keywords:

family history, lupus vulgaris, ulcerative, trunk

Abstract

Lupus vulgaris (LV) is a chronic, progressive and commonest clinical variant of cutaneous tuberculosis. Among the diverse presentations of LV seen in adults, the ulcerative form is rare explaining the delay in diagnosis. A 30 year old male with non-healing ulcer on trunk for three years with multiple treatments in the past was diagnosed as a case of ulcerative lupus vulgaris after the family history of tuberculosis in two close contacts of patient facilitated the diagnosis, which was further validated by mantoux test and histopathology report. The patient showed immediate response to Antitubercular therapy (ATT) and remained in remission on completion of therapy. Our case highlights that one should consider ulcerative lupus vulgaris as a possible differential diagnosis of non-healing ulcer in patients with personal and/or family history of tuberculosis.

Author Biographies

Pooja Bains, Department of Dermatology, Venereology & Leprology, Sri Guru Ram Das University of Health Sciences, Amritsar, India

Associate Professor of Dermatology

Sunil Grover, Department of Chest & TB, Sri Guru Ram Das University of Health Sciences, Amritsar, India

Dr. Sunil Grover MD Chest & TB

Manisha Sharma, Department of Pathology, Sri Guru Ram Das University of Health Sciences, Amritsar, India

Dr. Manisha Sharma MD Pathology 

References

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Published

2024-05-06

How to Cite

1.
Bains P, Grover S, Sharma M. Family history of tuberculosis as a pointer towards diagnosis of ulcerative lupus vulgaris on trunk: Ulcerative lupus vulgaris on trunk . J Pak Assoc Dermatol [Internet]. 2024May6 [cited 2026May2];34(1):314-6. Available from: https://www.jpad.com.pk/index.php/jpad/article/view/2409

Issue

Vol. 34 No. 1 (2024): January-March

Section

Case Reports

License

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