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Sporotrichoid lupus vulgaris: A rare presentation.

Maheshwari A, Tiwari S, Mathur DK, Bhargava P - Indian Dermatol Online J (2015 Mar-Apr)

Bottom Line: Lupus vulgaris is the most common presentation of cutaneous tuberculosis in India and can present as papular, nodular, plaque, ulcerative, vegetating, and tumid forms.Unusual variants include the frambesiform, gangrenous, ulcerovegetating, lichen simplex chronicus, myxomatous, and sporotrichoid types.We describe a rare sporotrichoid presentation of lupus vulgaris on the leg of a 28-year-old female of 12 years duration.

View Article: PubMed Central - PubMed

Affiliation: Department of Dermatology, Venereology and Leprology, SMS Medical College, Jaipur, Rajasthan, India.

ABSTRACT
Lupus vulgaris is the most common presentation of cutaneous tuberculosis in India and can present as papular, nodular, plaque, ulcerative, vegetating, and tumid forms. Unusual variants include the frambesiform, gangrenous, ulcerovegetating, lichen simplex chronicus, myxomatous, and sporotrichoid types. We describe a rare sporotrichoid presentation of lupus vulgaris on the leg of a 28-year-old female of 12 years duration.

No MeSH data available.


Related in: MedlinePlus

Plaque from dorsum of the foot in a sporotrichoid pattern
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Figure 1: Plaque from dorsum of the foot in a sporotrichoid pattern

Mentions: A 28-year-old female with family history of TB presented with multiple, asymptomatic, raised skin lesions of variable size and shape over her right lower limb. Lesions first appeared on the upper surface of her right foot 12 years ago [Figure 1] after a thorn prick. Thereafter, they extended steadily upward to her inner thigh, increasing both in number and size. There was a history of scarring at one end of the lesions and extension from the other. Examination of the right lower limb revealed polysized plaques of 4-8 cm diameter with central scarring and peripheral nodularity extending in a linear array from the dorsum of the lateral three toes to the medial aspect of ankle joint, knee joint, and medial aspect of the upper thigh in a sporotrichoid pattern [Figure 2]. The lesion on the dorsum of the foot was also ulcerated. There was matted unilateral inguinal and cervical lymphadenopathy. Hematological investigations are within normal limits. Serology for human immunodeficiency virus was nonreactive. Chest radiograph posteroanterior view and radiograph of the right foot were normal. Mantoux test showed 16 mm induration. Histopathology revealed hyperkeratosis, acanthosis and elongation of the rete ridges with dense dermal granulomas comprising epithelioid cells, Langhan's type giant cells and chronic inflammatory cells, supporting a diagnosis of lupus vulgaris [Figure 3].


Sporotrichoid lupus vulgaris: A rare presentation.

Maheshwari A, Tiwari S, Mathur DK, Bhargava P - Indian Dermatol Online J (2015 Mar-Apr)

Plaque from dorsum of the foot in a sporotrichoid pattern
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4375757&req=5

Figure 1: Plaque from dorsum of the foot in a sporotrichoid pattern
Mentions: A 28-year-old female with family history of TB presented with multiple, asymptomatic, raised skin lesions of variable size and shape over her right lower limb. Lesions first appeared on the upper surface of her right foot 12 years ago [Figure 1] after a thorn prick. Thereafter, they extended steadily upward to her inner thigh, increasing both in number and size. There was a history of scarring at one end of the lesions and extension from the other. Examination of the right lower limb revealed polysized plaques of 4-8 cm diameter with central scarring and peripheral nodularity extending in a linear array from the dorsum of the lateral three toes to the medial aspect of ankle joint, knee joint, and medial aspect of the upper thigh in a sporotrichoid pattern [Figure 2]. The lesion on the dorsum of the foot was also ulcerated. There was matted unilateral inguinal and cervical lymphadenopathy. Hematological investigations are within normal limits. Serology for human immunodeficiency virus was nonreactive. Chest radiograph posteroanterior view and radiograph of the right foot were normal. Mantoux test showed 16 mm induration. Histopathology revealed hyperkeratosis, acanthosis and elongation of the rete ridges with dense dermal granulomas comprising epithelioid cells, Langhan's type giant cells and chronic inflammatory cells, supporting a diagnosis of lupus vulgaris [Figure 3].

Bottom Line: Lupus vulgaris is the most common presentation of cutaneous tuberculosis in India and can present as papular, nodular, plaque, ulcerative, vegetating, and tumid forms.Unusual variants include the frambesiform, gangrenous, ulcerovegetating, lichen simplex chronicus, myxomatous, and sporotrichoid types.We describe a rare sporotrichoid presentation of lupus vulgaris on the leg of a 28-year-old female of 12 years duration.

View Article: PubMed Central - PubMed

Affiliation: Department of Dermatology, Venereology and Leprology, SMS Medical College, Jaipur, Rajasthan, India.

ABSTRACT
Lupus vulgaris is the most common presentation of cutaneous tuberculosis in India and can present as papular, nodular, plaque, ulcerative, vegetating, and tumid forms. Unusual variants include the frambesiform, gangrenous, ulcerovegetating, lichen simplex chronicus, myxomatous, and sporotrichoid types. We describe a rare sporotrichoid presentation of lupus vulgaris on the leg of a 28-year-old female of 12 years duration.

No MeSH data available.


Related in: MedlinePlus