Lupus Vulgaris Causing Nasal Destruction: Rare Presentation in Current Time

Authors

  • Md Rokon Uddin Associate Professor, Department of Skin & VD, Enam Medical College & Hospital, Savar, Dhaka
  • Farzana Akhter Junior consultant, Skin & VD, Upazilla Health Complex, Savar, Dhaka
  • Ahmed Minhaz Shumon Associate Professor, Department of ENT, Enam Medical College & Hospital, Savar, Dhaka

DOI:

https://doi.org/10.3329/jemc.v1i1.11140

Keywords:

Lupus vulgaris, Nose destruction, Lymphadenitis, Skin TB

Abstract

A 42-years old lady reported with slowly progressive reddish lesions over the nose, followed by atrophy and ulceration for about 6 years. Clinical examination revealed atrophied, ulcerated, erythematous lesions over central face, forehead and neck destroying whole nose. Mantoux test resulted 16×18 mm on 48 hours observation. Histopathological examination of the lesion showed noncaseating grunuloma along with Langhans giant cells in the upper dermis surrounded by lymphocytes. The conclusive diagnosis was lupus vulgaris based on above findings. Six months therapy with INH 300 mg plus rifampicin 600 mg supplemented by initial 2 months ethambutol 1000 mg plus pyrazinamide 1500 mg daily resulted clean-looking perforation with healthy margin.

DOI: http://dx.doi.org/10.3329/jemc.v1i1.11140

J Enam Med Col 2011; 1(1): 43-45

Downloads

Download data is not yet available.
Abstract
233
PDF
157

Downloads

Published

2012-07-09

How to Cite

Uddin, M. R., Akhter, F., & Shumon, A. M. (2012). Lupus Vulgaris Causing Nasal Destruction: Rare Presentation in Current Time. Journal of Enam Medical College, 1(1), 43–45. https://doi.org/10.3329/jemc.v1i1.11140

Issue

Vol. 1 No. 1 (2011)

Section

Case Reports

License

  • Copyright on any research article is transferred in full to Journal of Enam Medical College upon publication in the journal. The copyright transfer includes the right to reproduce and distribute the article in any form of reproduction (printing, electronic media or any other form).
  • Articles in the Journal of Enam Medical College are Open Access articles published under the Creative Commons CC BY License (https://creativecommons.org/licenses/by/4.0/)
  • This license permits use, distribution and reproduction in any medium, provided the original work is properly cited.