ArticleOxford medical case reports2025
Lupus vulgaris with a pseudo tumoral presentation, case report.
Article in Oxford medical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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5 authors.
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Abstract
Lupus vulgaris (LV) is a chronic, paucibacillary form of cutaneous tuberculosis. These often-mutilating lesions present a significant diagnostic challenge. We report the case of a 61-year-old patient who presented with a voluminous telangiectatic and ulcerated pseudo-tumoral mass measuring 10 cm in diameter, with a mutilating aspect. Histopathology of the skin lesion revealed granulomatous dermo-hypo dermatitis. Lymph node biopsy showed granulomatous inflammation. QuantiFERON-TB assay was positive, and the established diagnosis was pseudo-tumoral lupus vulgaris. The patient was successfully treated with standard four-drug anti-tuberculosis therapy. This case highlights the importance of a multidisciplinary approach, integrating rigorous clinical, biological, and histopathological correlation for early diagnosis. Appropriate anti-tubercular treatment led to significant and rapid lesion improvement, preventing severe and mutilating complications.
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