BACKGROUND: Primary infection with tuberculosis occurs only rarely on the skin. The lesions of Lupus vulgaris are usually found on the head or neck. The skin of and around the nose is frequently involved. But, we report a rare case, where a 36 years' old male patient presented with a Lupus vulgaris lesion over the upper part of the cheek, near the outer canthus of the right eye, of 9 years' duration. Histopathological examination showed granulomatous infiltration, with caseous necrosis. Mantoux test was positive. The lesion showed marked improvement on antituberculous treatment. We want to emphasize that histopathological examination has diagnostic value in Lupus vulgaris.