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Lupus vulgaris mimicking hemangioma diagnosed 42 years after onset: a case report
Mahizer Yaldız1, Teoman Erdem2, Bahar Sevimli Dikicier3
1Dermatology Department, SB. Sakarya University Hospital, Esentepe Kampüsü, 54187, Sakarya, Turkey. drmahizer@gmail.com.
Introduction:
Lupus vulgaris is the most common form of cutaneous tuberculosis. It may easily be overlooked if a proper differential diagnosis is omitted.
Case Presentation:
A 46-year-old Turkish woman presented with a 42-year history of erythamatous plaque on her left arm. Ziehl-Neelsen and periodic acid-Schiff stains did not show any acid-fast bacilli. Culture from a biopsy specimen was negative for Mycobacterium tuberculosis. The result of a polymerase chain reaction-based assay for Mycobacterium was negative. Histopathologic findings revealed a tuberculoid granuloma containing epithelioid cells, lymphocytes and Langerhans-type giant cells. A diagnosis of lupus vulgaris was made by clinical and histopathologic findings.
Conclusions:
The lesion improved after antituberculous therapy, confirming the diagnosis of lupus vulgaris.
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