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[Multifocal lupus vulgaris]

A Kane1, O Dereure, J J Guilhou

  • 1Service de Dermatologie-Phlébologie, Hôpital Saint-Charles, Montpellier.

Annales De Dermatologie Et De Venereologie
|January 1, 1996
PubMed
Summary

Lupus vulgaris, a form of cutaneous tuberculosis, can present with multiple lesions and visceral involvement, particularly in the liver. Diagnosis requires culturing skin samples when histology is ambiguous.

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Area of Science:

  • Dermatology
  • Infectious Diseases
  • Pathology

Background:

  • Lupus vulgaris, a cutaneous manifestation of tuberculosis, typically presents as a solitary facial patch.
  • Visceral involvement in lupus vulgaris is uncommon and rarely documented.

Observation:

  • A 69-year-old female presented with disseminated cutaneous lesions on her trunk and limbs.
  • Histopathology revealed non-caseating tuberculoid granulomas.
  • A history of pulmonary tuberculosis led to the suspicion and confirmation of lupus vulgaris via skin culture.

Findings:

  • The patient exhibited multiple, widespread cutaneous lesions, an atypical presentation for lupus vulgaris.
  • Liver involvement was suspected, representing a previously unreported site for visceral lesions in this condition.
  • The histological findings mimicked sarcoidosis, highlighting diagnostic challenges.

Implications:

  • Disseminated lupus vulgaris with visceral involvement necessitates a high index of suspicion.
  • Cutaneous sample cultures are crucial for accurate diagnosis, especially with non-specific granulomatous inflammation.
  • This case expands the understanding of lupus vulgaris presentation and its potential for extensive organ involvement.

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