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Cutaneous Tuberculosis:

Pathology of Lupus Vulgaris

Dr Sampurna Roy MD        




Lupus Vulgaris is a common form of reinfection tuberculosis.

It is caused by Mycobacterium tuberculosis .

Age: Common in young adults.

Site: Head and neck region, extremities and buttock.

Clinical presentation: Usually there are multiple erythematous papules forming a plaque and rarely crusted ulcer formation.


Microscopic features:  There are tuberculoid granulomas with a tendency to confluence, throughout the dermis. Langerhans cells are present in moderate numbers in the granulomas. The overlying epidermis may be atrophic or hyperplastic. 

Visit:  Tuberculosis ; Skin infections- (Histopathological patterns)


Further reading:

Lupus vulgaris of external nose--a case report.

Cutaneous tuberculosis of the pinna: a report of two cases.

Periocular lupus vulgaris secondary to lacrimal sac tuberculosis: a rare presentation with emphasis on magnetic resonance imaging in localizing the primary focus of infection.

Two Cases of Lupus vulgaris in Childhood and Review of the Clinical Challenges.

Lupus vulgaris: difficulties in diagnosis.

Pattern of cutaneous tuberculosis among children and adolescent.

Giant lupus vulgaris: A rare presentation.

Leprosy mimicry of lupus vulgaris and misdiagnosis of leprosy--a case report.

Multifocal cystic osseous tuberculosis with lupus vulgaris.

Cutaneous tuberculosis in children and adolescents

Lupus vulgaris developing at the site of misdiagnosed scrofuloderma

Lupus vulgaris--a case diagnosed more than 20 years after onset

Psoriasiform lupus vulgaris with 30 years duration.





Dr Sampurna Roy  MD

Consultant  Histopathologist (Kolkata - India)






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