Evidence map›Paper›PMID 42101805›Full record

ArticleEuropean journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology2026

A rare case of long-standing lupus vulgaris with psoriasiform manifestations diagnosed by mNGS: a case report.

Qiang Li, Xiaoyang Yang, Huanlin Zhu, Shuhui Yang, Guangwen Yin

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Article in European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology, 2026. 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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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Qiang LiDepartment of Dermatology, The First Affiliated Hospital of Zhengzhou University, No.1 Jianshe East Road, Zhengzhou, 450052, CN, People's Republic of China.
Xiaoyang YangDepartment of Dermatology, The First Affiliated Hospital of Zhengzhou University, No.1 Jianshe East Road, Zhengzhou, 450052, CN, People's Republic of China.
Huanlin ZhuDepartment of Dermatology, The First Affiliated Hospital of Zhengzhou University, No.1 Jianshe East Road, Zhengzhou, 450052, CN, People's Republic of China.
Shuhui YangDepartment of Dermatology, The First Affiliated Hospital of Zhengzhou University, No.1 Jianshe East Road, Zhengzhou, 450052, CN, People's Republic of China.
Guangwen YinDepartment of Dermatology, The First Affiliated Hospital of Zhengzhou University, No.1 Jianshe East Road, Zhengzhou, 450052, CN, People's Republic of China. gwyin67@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This report describes a rare case of lupus vulgaris mimicking psoriasis, undiagnosed for over 40 years. Conventional diagnostics, including histopathology and mycobacterial culture, failed to yield a definitive diagnosis. Ultimately, metagenomic next-generation sequencing (mNGS) of the skin tissue detected the Mycobacterium tuberculosis complex, confirming the infection. The patient showed marked clinical improvement following two months of dual-drug anti-tuberculosis therapy. This case highlights the clinical utility of mNGS for diagnosing atypical, long-standing cutaneous tuberculosis when conventional methods are negative, thereby preventing prolonged misdiagnosis and ensuring timely treatment.

Indexed as

Lupus VulgarisMycobacterium tuberculosisPsoriasisTuberculosis, CutaneousAntitubercular AgentsDiagnosis, DifferentialFemaleHigh-Throughput Nucleotide SequencingHumansSkinAntitubercular AgentsGranulomatous inflammationHigh-throughput nucleotide sequencingLupus vulgarisTuberculosis, cutaneous

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.