Lupus vulgaris masquerading as tumorous growth

Sirka, Chandra Sekhar; Rout, Arpita Nibedita; Kumar, Pankaj; Purkait, Suvendu

doi:10.25259/ijdvl_1008_20

Cited by 2 publications

(1 citation statement)

References 6 publications

(7 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The diagnosis of lupus vulgaris is often challenging due to varied clinical presentations. Lupus vulgaris has been reported to be misdiagnosed as mycosis fungoides, 4 leishmaniasis, 5 cutaneous malignancy, 6 hemangioma 7 etc. The patient was initially misdiagnosed with sarcoidosis, which, and leprosy, are exactly two chief diseases in diagnostic difficulty to distinguish.…”

Section: Discussionmentioning

confidence: 99%

Giant Lupus Vulgaris with Negative T-SPOT.TB, a Case Report and Literature Review

Wang¹,

Wang²

2022

CCID

View full text Add to dashboard Cite

Lupus vulgaris is a paucibacillary form of cutaneous tuberculosis (CTB) which is accounting for 1–2% of all tuberculosis cases. Here, we report a rare huge lupus vulgaris misdiagnosed as sarcoidosis for 11 years. A 65-year-old man presented to dermatology outpatient with a large asymptomatic erythematous plaque and erosions on his neck. Sarcoidosis was initially diagnosed on the basis of negative interferon-gamma release tests and biopsies of lymph nodes and lesions. The patient was treated with long-term oral steroid and immunosuppressive agents, but the lesions expanded gradually. Lupus vulgaris was finally diagnosed by combining molecular detection and mycobacterial culture. The skin lesions were resolved after six months of standard antituberculosis therapy. We report this case to analyze the reasons for the misdiagnosis and review-related literature to further provide experience for the diagnosis and treatment of cutaneous tuberculosis with negative T-SPOT.TB.

show abstract

Section: Discussionmentioning

confidence: 99%