Lupus vulgaris associated with Scrofuloderma

• Main Authors: Isha Preet Tuli, Shikha Verma, Binod Kumar Thakur, Deepti Joshi
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2014-01-01
• Series: Sahel Medical Journal
• Subjects: Lupus vulgaris; Mycobacterium tuberculosis; scrofuloderma
• Online Access: http://www.smjonline.org/article.asp?issn=1118-8561;year=2014;volume=17;issue=1;spage=34;epage=36;aulast=Tuli

Lupus vulgaris is a rare manifestation of tuberculosis. It is even rarer for it to complicate scrofuloderma. We report a case of a 27-year-old man who had undergone a successful treatment for pulmonary tuberculosis presenting with scrofuloderma with lesions of lupus on the overlying skin. The Mantoux test was positive and initial chest X-ray did not show any active features of tuberculosis. Discharge from the lesion stained positive for acid fast bacilli. Multiple fine needle aspirations were inconclusive. However the histopathology of biopsied lesion revealed tuberculoid granuloma with Langhans giant cells. TThe patient improved with antitubercular therapy. We are presenting this case as a rare coexistence of scrofuloderma with lupus vulgaris.