title: Presumed periorbital lupus vulgaris with ocular extension.
abstract: OBJECTIVE
  To report an unusual case of lupus vulgaris that spread to the left anterior ocular surface.
  
  
  METHODS
  Case report.
  
  
  METHODS
  An 18-year-old woman presented with an 8-month history of an infiltrative skin lesion affecting the left lower eyelid and cheek area, left globe, right lacrimal sac area, together with a cystic lesion in the foot area. TESTING/INTERVENTION: The authors describe the clinical findings, radiologic study, and histopathologic study of the conjunctiva, skin, liver, and ankle lesion. The patient was treated with antituberculous medications for 3 months.
  
  
  METHODS
  Healing of the skin, conjunctival, and bone lesions.
  
  
  RESULTS
  The lesion of the face healed, leaving scar tissue. The left eye showed symblepharon with loss of its anterior surface features. The right eye showed no symblepharon, the bones of the foot healed with no deformity, and the liver function test results normalized after 3 months of antituberculous medications.
  
  
  CONCLUSIONS
  Lupus vulgaris can be associated with multiple system involvement. Its clinical presentation and behavior depend on the patient's immunity and duration of the disease. Early diagnosis and appropriate management may cure the disease with no life-threatening sequelae.
authors.affiliation: Department of Ophthalmology, Alexandria University School of Medicine, Egypt.
authors.forename: A M
authors.initials: AM
authors.lastname: El-Ghatit
authors.forename: S M
authors.initials: SM
authors.lastname: El-Deriny
authors.forename: A A
authors.initials: AA
authors.lastname: Mahmoud
authors.forename: A S
authors.initials: AS
authors.lastname: Ashi
mesh_terms: D000293:Adolescent; D000995:Antitubercular Agents / Q000627:therapeutic use; D001706:Biopsy; D003229:Conjunctival Diseases / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D004269:DNA, Bacterial / Q000032:analysis; D005141:Eyelid Diseases / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D005260:Female; D005534:Foot Diseases / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology; D006801:Humans; D007766:Lacrimal Apparatus Diseases / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D008177:Lupus Vulgaris / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D008279:Magnetic Resonance Imaging; D009169:Mycobacterium tuberculosis / Q000235:genetics / Q000302:isolation & purification; D009916:Orbital Diseases / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D014392:Tuberculosis, Ocular / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology
chemical_list: D000995:Antitubercular Agents; D004269:DNA, Bacterial