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Disseminated lupus vulgaris


European Journal of Dermatology. Volume 13, Number 5, 500-2, September 2003, Clinical report

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Author(s) : Paolo GISONDI, Marie PEREZ, Emanuela GUBINELLI, Barbara COCUROCCIA, Marcello FAZIO, Giampiero GIROLOMONI

Summary : 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.

Keywords : infectious disease, lupus vulgaris, scarring alopecia, tuberculosis

 

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