Lupus vulgaris leading to perforation of nasal septum in a child

Abstract

Lupus vulgaris (LV) is a common form of cutaneous tuberculosis in India, mostly involving the lower half of the body. Facial involvement is uncommon. Untreated disease may lead to significant morbidity due to atrophic scarring, mutilation, and deformity. We report a case of multi-focal LV in a 10-year-old boy affecting the nose and cheek that resulted in perforation of the nasal septum, a rarely reported complication.

Cutaneous tuberculosis in the pediatric population: A review

“…After 8 weeks of therapy, there was significant resolution at which point a large septal perforation requiring surgical reconstruction was appreciated. 26 …”