Tuberculosis verrucosa cutis in a tumour-like form

Abstract

An unusual case of tuberculosis verrucosa cutis that presented with a tumour-like lesion on the heel is described. This responded rapidly to treatment with isoniazid.

Tuberculosis verrucosa cutis in a patient with long‐standing generalized lichen planus: Improvement of lichen after antitubercular polychemotherapy

“…Lesions of TBVC are most commonly located on the dorsal hands in Western countries contrary to Eastern countries, where lower limbs and buttocks are the most frequently affected sites. Unusual locations such as perianal involvement or a tumorlike lesion on the heel, as well as TBVC associated with tuberculosis lymphadenitis have also been described (1,4,7,9). The initial lesion usually is an asymptomatic, solitary, dark-red papule which slowly grows to form a verrucous plaque or nodule surrounded by an inflammatory border with clefts, fissures and occasionally draining orifices on its surface (1,2).…”

“…The species is usually M. tuberculosis hominis; although rare, M. bovis and M. avium may also be causative agents (8). Tubercle bacilli cannot invade the normal skin barrier, and enters the skin through a tiny injury such as minor abrasions or wounds (8,9). TBVC is uncommon in Western countries, and is primarily limited to physicians (especially pathologists and forensic scientists) and other medical workers, butchers, slaughter-house operators and workers engaged in handling infected tuberculosis matter (1)(2)(3)(4).…”

Tuberculosis Verrucosa Cutis

“…Although TBVC occurs generally on the hands, the predilection sites for children are the lower extremities (knees, thigh and buttocks) (2). In Europe, TBVC lesions are most encountered on the hands, although the lower limbs and buttocks are the most frequently affected sites in eastern countries (7). In our cases, the lesions were on the hands, lower limbs and gluteal regions.…”

Tuberculosis verrucosa cutis: A case report from a rural medical college of India

“…[1] In the past, the disease was usually found among pathologists, autopsy room attendants, butchers and undertakers. [2] Adult men are reportedly the most commonly affected, [3] probably because they are more often involved in manual work and are liable to trauma.…”

“…TBVC occurs in previously sensitized individuals due to exogenous reinfection with Mycobacterium tuberculosis or Mycobacterium bovis. [1] …”