Facial lupus vulgaris neglected for 50 years!
The present case has been reported in the Journal of Dermatology & Dermatologic Surgery.

Tuberculosis (TB) is still a problem in the developed and underdeveloped countries, and cutaneous TB is a small part of extrapulmonary forms. Lupus vulgaris (LV) is the most common form of cutaneous TB among Western populations.

The authors report a case of facial LV with a long delay in diagnosis of 50 years. A 59-year-old man presented with a right cheek slow-growing lesion for 50 years. Skin biopsy showed tuberculoid granulomas without caseous necrosis, and the culture of cutaneous biopsy was negative.

The polymerase chain reaction of Mycobacterium complex-specific DNA sequences on a fresh skin biopsy material was positive. The patient was given antituberculous treatment with which lesion improved.

The delayed diagnosis of 50 years is atypical, especially that the lesion had a display character. Delayed diagnosis of cutaneous TB will cause a significant increase in morbidity. Early diagnosis and treatment is the key to reduce the morbidity.

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Dr. S●●●●n M●●●●l
Dr. S●●●●n M●●●●l Dermatology
Many people are not sare of that TB can infect their skin also. When a case is labelled as he or she has got TB looks at the doctor' s in disagreement and takes time to convince the patient.
Aug 27, 2018Like