[Fagedenic ulcer as appearance of cutaneous disseminate tuberculosis]

A case about a male patient 31 years with a history of non-healing suppurative lesion on his left index finger that finally required amputation is reported. A year later he developed two ulcers, one of them on the abdominal wall had been present for almost one year reaching a big size (18±6.5 cm); the second one was smaller and located on the left proximal arm. Histopathology study showed non-caseating granulomas with positive stain for acid-fast bacillus, and a PCR test was positive for Mycobacterium tuberculosis. Patient was treated with combined treatment against tuberculosis during a year, achieving complete healing. The most outstanding feature of this case report is the clinical expression with an uncommon huge ulcer.