Interesting presentation of cutaneous tuberculosis on the face: A Case Report

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Arada Ovattrakul
Pimsiri Poolsuwan

Abstract

                 Cutaneous tuberculosis is a skin infection which presents in multiple subtypes.Lupus vulgaris is the most frequent cutaneous form. The clinicals of lupus vulgarisare varied sometimes mimicking other skin conditions. A definite diagnosis depends on clinico-histopathological features and the presence of Mycobacterium tuberculosis.  


             We report an interesting clinical presentation of cutaneous tuberculosis on the face, a 28-year-old immunocompetent woman with a two-year history of progressive, non-healing, asymptomatic, papulopustular lesions and plaques on the nasal area with expanding lesions to the left medial cheek. Previously diagnosed as rosacea fulminans with unsuccessful treatment and disease progression. Subsequently, the second time of the histopathological result showed pseudoepitheliomatous hyperplasia with tuberculoid granulomas in the dermis surrounded by lymphocytes and histiocytes. Tissue culture was positive for Mycobacterium tuberculosis.And QuantiFERON-TB Gold test also resulted in a positive. A chest radiograph was performed to exclude a pulmonary origin and revealed no sign of infection. The patient was treated according to the standard WHO recommendations.

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รายงานผู้ป่วย (Case Report)

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