A nodulo-ulcerative lesion on the nose.
Lupus vulgaris (LV) is a chronic, progressive, and potentially destructive form of cutaneous tuberculosis commonly seen in previously sensitized individuals with moderate to high immunity. We present a case of LV located on the nose of an 84-year-old female patient, discuss the diagnosis and treatment modalities, and emphasize the importance of having a high index of suspicion for this condition.
Morais
Paulo
P
Department of Dermatology and Venereology, Faculty of Medicine, University of Porto, Porto, Portugal.
Ferreira
Olga
O
Nogueira
Ana
A
Bettencourt
Herberto
H
Azevedo
Filomena
F
D000369:Aged, 80 and over; D000995:Antitubercular Agents / Q000627:therapeutic use; D002908:Chronic Disease; D004977:Ethambutol / Q000627:therapeutic use; D005260:Female; D006801:Humans; D007538:Isoniazid / Q000627:therapeutic use; D008177:Lupus Vulgaris / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D009169:Mycobacterium tuberculosis / Q000187:drug effects / Q000302:isolation & purification; D009668:Nose Diseases / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology* / Q000473:pathology; D011718:Pyrazinamide / Q000627:therapeutic use; D012293:Rifampin / Q000627:therapeutic use; D012883:Skin Ulcer / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology* / Q000473:pathology; D016896:Treatment Outcome; D014397:Tuberculosis, Pulmonary / Q000150:complications
D000995:Antitubercular Agents; D011718:Pyrazinamide; D004977:Ethambutol; D007538:Isoniazid; D012293:Rifampin