Disseminated lupus vulgaris

Eur J Dermatol. 2003 Sep-Oct;13(5):500-2.

Abstract

Lupus vulgaris is the most common form of cutaneous tuberculosis, and usually presents as a solitary lesion on the face. We report two patients with multiple lesions on different skin areas. The first patient presented a diffuse involvement of the right foot, and reddish-brown plaques on the right leg, the back and the face. Spreading of the lesions followed a prolonged application of topical corticosteroids. The second patient showed a large plaque on the nape and occipital area resulting in scarring alopecia, and plaques on the right inguinal and thigh regions. Ziehl-Neelsen staining was negative in both cases, but diagnosis was supported by histology and polymerase chain reaction analysis. No visceral involvement was present. Antituberculosis polychemotherapy was rapidly effective.

Publication types

  • Case Reports

MeSH terms

  • Adrenal Cortex Hormones / adverse effects
  • Aged
  • Anti-Inflammatory Agents / adverse effects
  • Antitubercular Agents / therapeutic use*
  • Disease Progression
  • Female
  • Humans
  • Lupus Vulgaris / diagnosis*
  • Lupus Vulgaris / drug therapy
  • Male
  • Middle Aged

Substances

  • Adrenal Cortex Hormones
  • Anti-Inflammatory Agents
  • Antitubercular Agents