Diagnostic dilemma in a patient with chronic non-healing ulcer on leg:A case report  

作　　者：Mendiratta Vibhu Meena Amit Singh Smita 

机构地区：[1]Department of Dermatology and STD,Lady Hardinge Medical College,New Delhi,India [2]Department of Pathology,Lady Hardinge Medical College,New Delhi,India

出　　处：《Asian Pacific Journal of Tropical Medicine》2022年第12期568-570,共3页亚太热带医药杂志（英文版）

摘　　要：Rationale:Though cutaneous tuberculosis accounts for a small proportion of all tuberculosis cases,it becomes an important health issue considering its high prevalence in tropical countries.Due to its myriad clinical manifestations,it becomes difficult to diagnose and may pose a great diagnostic dilemma.Patient concerns:A 17-year-old male complaint of ulcerproliferative lesion on the left lower leg for 5 years.There was no history suggestive of tuberculosis.On cutaneous examination,single well-defined erosiocrustive plaque of size 14 cm×13 cm with yellowish adherent crust presented over the left lower leg.The underlying surface shows ulceration after removing the crust.Diagnosis:Ulcerative Lupus vulgaris.Interventions:Anti-tubercular drug therapy(isoniazid,rifampicin,pyrazinamide and ethambutol).Outcomes:Lesion showed dramatic improvement after one month of anti-tubercular therapy.Lessons:Dermatologists should be aware of variable clinical presentations of cutaneous tuberculosis so as to diagnose it timely and correctly.

关 键 词：Cutaneous tuberculosis Mantoux Ulcerative Lupus vulgaris 

分 类 号：R658.3[医药卫生—外科学]