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Bindi Tuberculosis - Lupus Vulgaris Associated with Bindi Use: A Case Report
Gyanshankar Mishra1, Sushil Rathi2, Jasmin Mulani3
1Assistant Professor, Department of Chest & TB, Government Medical College , Nagpur, India .
Journal of Clinical and Diagnostic Research : JCDR
|July 9, 2015
Summary
Cutaneous tuberculosis (TB) is rare. This case highlights lupus vulgaris, a form of TB affecting the skin, potentially linked to long-term bindi application on the forehead.
Area of Science:
- Dermatology
- Infectious Diseases
- Microbiology
Background:
- Cutaneous tuberculosis (TB) represents uncommon clinical manifestations of Mycobacterium tuberculosis infection.
- Lupus vulgaris is a chronic, secondary form of cutaneous TB, typically occurring on the face.
Observation:
- A 40-year-old female presented with a two-month history of a forehead skin lesion.
- The patient reported consistent bindi application in the affected area for 25 years.
- The lesion's location correlated with the site of chronic bindi application.
Findings:
- Skin biopsy and ancillary investigations confirmed the diagnosis of lupus vulgaris.
- The patient was initiated on standard anti-tuberculosis (TB) treatment.
- Complete regression of the cutaneous lesion was observed following anti-TB therapy.
Implications:
- This case suggests a potential association between long-term bindi use and the development of lupus vulgaris.
- It underscores the importance of considering cutaneous TB in the differential diagnosis of chronic facial lesions.
- Further research may explore the role of local factors, such as adhesives or materials in bindis, in TB pathogenesis.
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