Lupus vulgaris on the buttock mimicking tinea corporis
DOI:
https://doi.org/10.66344/jpad.v21i4.493Keywords:
Lupus vulgaris, histopathological examination, polymerase chain reactionAbstract
Lupus vulgaris is the most common form of cutaneous tuberculosis which usually occurs in patients previously sensitized to Mycobacterium tuberculosis. It is often clinically and histopathologically confused with various cutaneous disorders. Here, we present a 28-year-old man attended in our medical college with slowly progressive, asymptomatic, annular erythematous skin lesions on the buttocks for 8 years. He consulted with many physicians and was improperly treated with an oral antifungal agent for several months under the diagnosis of tinea corporis, but no cure was observed. A diagnosis of lupus vulgaris was made based on the histopathological examination and the polymerase chain reaction. Anti-tuberculosis therapy was administered and the lesions started to regress.
References
1. Yates VM, Rook GAW. Mycobacterial infections. In: Burns T, Breathnach S, Cox N, Griffiths C, editors. Rook's Textbook of dermatology, 7th edn. Malden: Blackwell Science; 2004. P. 16-28.
2. Espinal MA, Laszlo A, Simonsen L et al. Global trends in resistance to antituberculosis drugs. World Health Organization-International Union against Tuberculosis and Lung Disease Working Group on Anti-Tuberculosis Drug Resistance Surveillance. N Engl J Med. 2001; 344: 1294-1303.
3. Suh JH, Song JY. A case of lupus vulgaris like reaction following BCG vaccination. Korean J Dermatol 1979; 17: 81-6.
4. Senol M, Ozcan A, Mizrak B et al. A case of lupus vulgaris with unusual location. J Dermatol 2003; 30: 566-9.
5. Thomas S, Suhas S, Pai KM, Raghu AR. Lupus vulgaris-report of a case with facial involvement. Br Dent J 2005; 198: 135-7.
6. Bilen N, Apaydin R, Harova G et al. Lupus vulgaris on the buttock: report of two cases. J Eur Acad Dermatol Venereol 2000; 14: 66-7.
7. Khandpur S, Reddy BS. Lupus vulgaris: unusual presentations over the face. J Eur Acad Dermatol Venereol 2003; 17: 706-10.
8. Warin AP, Jones EW. Cutaneous tuberculosis of the nose with unusual clinical and histological features leading to a delay in the diagnosis. Clin Exp Dermatol 1977; 2: 235-42.
9. Farina MC, Gegundez MI, Pique E et al. Cutaneous tuberculosis: a clinical, histopathologic, and bacteriologic study. J Am Acad Dermatol 1995; 33: 433-40.
10. Tan SH, Tan BH, Goh CL et al. Detection of Mycobacterium tuberculosis DNA using polymerase chain reaction in cutaneous tuberculosis and tuberculids. Int J Dermatol 1999; 38: 122-7.
11. Gerhard T. Tuberculosis and infections with atypical mycobacteria. In: Wolff K, Goldsmith LA, Katz SI et al., eds. Fitzpatrick's Dermatology in General Medicine, 7th edn. New York: McGraw-Hill; 2008. P. 1768-78.
Downloads
Published
Issue
Section
License
Copyright (c) 2016 Muhammad Hasibur Rahman, Nazma Parvin Ansari, Md Hadiuzzaman, Nahida Islam Nipa, Md. Shahidul Islam, Sabrina Alam Mumu, Ishrat Jahan Chowdhury
This work is licensed under a Creative Commons Attribution 4.0 International License.
Submission declaration
Authors retain the copyright to their work and grant the 'Journal of Pakistan Association of Dermatologists (JPAD)' the right of first publication under a Creative Commons Attribution 4.0 International (CC BY 4.0) license. This license allows others to share, adapt, and reuse the work for any purpose, including commercial use, as long as appropriate credit is given to the original authors and the journal.
By submitting a manuscript, authors confirm that the work has not been published previously (except as an abstract, lecture, or academic thesis), is not under review elsewhere, and has been approved by all authors and relevant authorities. Once accepted, the article will be openly accessible under the CC BY 4.0 license, ensuring wide dissemination and reuse with proper attribution.
