Diagnostic dilemma in a patient with chronic non–healing ulcer on leg: A case report
Rationale: Though cutaneous tuberculosis accounts for a small proportion of all tuberculosis cases, it becomes an important health issue considering its high prevalence in tropical countries. Due to its myriad clinical manifestations, it becomes difficult to diagnose and may pose a great diagnostic...
Published in: | Asian Pacific Journal of Tropical Medicine |
---|---|
Main Authors: | , , |
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
Wolters Kluwer Medknow Publications
2022
|
Subjects: | |
Online Access: | https://doi.org/10.4103/1995-7645.359790 https://doaj.org/article/7b423902b4e9479081877cf76de03ec3 |
id |
ftdoajarticles:oai:doaj.org/article:7b423902b4e9479081877cf76de03ec3 |
---|---|
record_format |
openpolar |
spelling |
ftdoajarticles:oai:doaj.org/article:7b423902b4e9479081877cf76de03ec3 2023-05-15T15:04:00+02:00 Diagnostic dilemma in a patient with chronic non–healing ulcer on leg: A case report Mendiratta Vibhu Meena Amit Singh Smita 2022-01-01T00:00:00Z https://doi.org/10.4103/1995-7645.359790 https://doaj.org/article/7b423902b4e9479081877cf76de03ec3 EN eng Wolters Kluwer Medknow Publications http://www.apjtm.org/article.asp?issn=1995-7645;year=2022;volume=15;issue=12;spage=568;epage=570;aulast=Vibhu https://doaj.org/toc/2352-4146 2352-4146 doi:10.4103/1995-7645.359790 https://doaj.org/article/7b423902b4e9479081877cf76de03ec3 Asian Pacific Journal of Tropical Medicine, Vol 15, Iss 12, Pp 568-570 (2022) cutaneous tuberculosis mantoux ulcerative lupus vulgaris Arctic medicine. Tropical medicine RC955-962 article 2022 ftdoajarticles https://doi.org/10.4103/1995-7645.359790 2023-01-15T01:25:47Z Rationale: Though cutaneous tuberculosis accounts for a small proportion of all tuberculosis cases, it becomes an important health issue considering its high prevalence in tropical countries. Due to its myriad clinical manifestations, it becomes difficult to diagnose and may pose a great diagnostic dilemma. Patient concerns: A 17-year-old male complaint of ulcerproliferative lesion on the left lower leg for 5 years. There was no history suggestive of tuberculosis. On cutaneous examination, single well-defined erosiocrustive plaque of size 14 cm × 13 cm with yellowish adherent crust presented over the left lower leg. The underlying surface shows ulceration after removing the crust. Diagnosis: Ulcerative Lupus vulgaris. Interventions: Anti-tubercular drug therapy (isoniazid, rifampicin, pyrazinamide and ethambutol). Outcomes: Lesion showed dramatic improvement after one month of anti-tubercular therapy. Lessons: Dermatologists should be aware of variable clinical presentations of cutaneous tuberculosis so as to diagnose it timely and correctly. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Asian Pacific Journal of Tropical Medicine 15 12 568 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
cutaneous tuberculosis mantoux ulcerative lupus vulgaris Arctic medicine. Tropical medicine RC955-962 |
spellingShingle |
cutaneous tuberculosis mantoux ulcerative lupus vulgaris Arctic medicine. Tropical medicine RC955-962 Mendiratta Vibhu Meena Amit Singh Smita Diagnostic dilemma in a patient with chronic non–healing ulcer on leg: A case report |
topic_facet |
cutaneous tuberculosis mantoux ulcerative lupus vulgaris Arctic medicine. Tropical medicine RC955-962 |
description |
Rationale: Though cutaneous tuberculosis accounts for a small proportion of all tuberculosis cases, it becomes an important health issue considering its high prevalence in tropical countries. Due to its myriad clinical manifestations, it becomes difficult to diagnose and may pose a great diagnostic dilemma. Patient concerns: A 17-year-old male complaint of ulcerproliferative lesion on the left lower leg for 5 years. There was no history suggestive of tuberculosis. On cutaneous examination, single well-defined erosiocrustive plaque of size 14 cm × 13 cm with yellowish adherent crust presented over the left lower leg. The underlying surface shows ulceration after removing the crust. Diagnosis: Ulcerative Lupus vulgaris. Interventions: Anti-tubercular drug therapy (isoniazid, rifampicin, pyrazinamide and ethambutol). Outcomes: Lesion showed dramatic improvement after one month of anti-tubercular therapy. Lessons: Dermatologists should be aware of variable clinical presentations of cutaneous tuberculosis so as to diagnose it timely and correctly. |
format |
Article in Journal/Newspaper |
author |
Mendiratta Vibhu Meena Amit Singh Smita |
author_facet |
Mendiratta Vibhu Meena Amit Singh Smita |
author_sort |
Mendiratta Vibhu |
title |
Diagnostic dilemma in a patient with chronic non–healing ulcer on leg: A case report |
title_short |
Diagnostic dilemma in a patient with chronic non–healing ulcer on leg: A case report |
title_full |
Diagnostic dilemma in a patient with chronic non–healing ulcer on leg: A case report |
title_fullStr |
Diagnostic dilemma in a patient with chronic non–healing ulcer on leg: A case report |
title_full_unstemmed |
Diagnostic dilemma in a patient with chronic non–healing ulcer on leg: A case report |
title_sort |
diagnostic dilemma in a patient with chronic non–healing ulcer on leg: a case report |
publisher |
Wolters Kluwer Medknow Publications |
publishDate |
2022 |
url |
https://doi.org/10.4103/1995-7645.359790 https://doaj.org/article/7b423902b4e9479081877cf76de03ec3 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Asian Pacific Journal of Tropical Medicine, Vol 15, Iss 12, Pp 568-570 (2022) |
op_relation |
http://www.apjtm.org/article.asp?issn=1995-7645;year=2022;volume=15;issue=12;spage=568;epage=570;aulast=Vibhu https://doaj.org/toc/2352-4146 2352-4146 doi:10.4103/1995-7645.359790 https://doaj.org/article/7b423902b4e9479081877cf76de03ec3 |
op_doi |
https://doi.org/10.4103/1995-7645.359790 |
container_title |
Asian Pacific Journal of Tropical Medicine |
container_volume |
15 |
container_issue |
12 |
container_start_page |
568 |
_version_ |
1766335844067573760 |