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Tuberculosis verrucosa cutis (a case report).

S K Sayal, J J Falleiro, H Motwani

Indian Journal of Dermatology

|March 1, 1989

Summary

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Tuberculosis verrucosa cutis recurred in the perianal area, confirmed by biopsy. The patient also had asymptomatic pulmonary tuberculosis, responding well to treatment.

Area of Science:

Dermatology
Infectious Diseases
Pathology

Background:

Tuberculosis verrucosa cutis (TBVC) is a rare, chronic skin manifestation of tuberculosis.
It typically presents as a warty lesion, often on exposed areas.
Perianal TBVC is an uncommon presentation, posing diagnostic challenges.

Observation:

A patient presented with a recurrent perianal growth previously excised.
Histopathological examination of the recurrent lesion confirmed tuberculosis verrucosa cutis.
Chest X-ray revealed asymptomatic pulmonary tuberculosis.

Findings:

The diagnosis of tuberculosis verrucosa cutis was confirmed histopathologically.
Co-existing pulmonary tuberculosis was identified incidentally.

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The patient showed a positive response to standard anti-tubercular therapy.

Implications:

This case highlights the possibility of TBVC in unusual anatomical locations like the perianal region.
It underscores the importance of considering tuberculosis in unexplained chronic skin lesions, even without typical respiratory symptoms.
Prompt diagnosis and treatment are crucial for managing both cutaneous and pulmonary tuberculosis.