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A Rare Case of Lupus Vulgaris in a Private Tertiary Health Facility in South-Western Nigeria

Authors: AKINOLA Moses

Publication Type: Journal article

Journal: Journals Of Advances In Medicine And Medical Research

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Abstract

Background: Lupus Vulgaris is the most common form of cutaneous tuberculosis. It represents a reactivation of infection in people with moderate to high immunity against mycobacterium tuberculosis. Lesions can develop in all ages, as a collection of discrete, red-brown papules that subsequently coalesce to form an indolent asymptomatic plaque on the affected site. Diagnosis constitutes a major challenge as the most definitive investigative modality, mantoux test is not always positive. Histological examination and initiation of antitubercular therapy usually leads to diagnosis and clinical cure respectively.

Objective: We report a case of Lupus Vulgaris of external nose, a rare, underreported and commonly misdiagnosed condition in Nigeria.

Case Report: A 13-year-old female presented with proliferative, raised multinodular lesion over the external nose. Clinical features, histopathological examination and a strongly reactive tuberculin skin test were all supportive of a diagnosis of Lupus Vulgaris. Antitubercular therapy (9-month regimen) was started and later followed by serial debridement of necrosed tissue. The lesion significantly resolved.

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AKINOLA,M. . (2018). A Rare Case of Lupus Vulgaris in a Private Tertiary Health Facility in South-Western Nigeria, 27 (), 1-1.

AKINOLA,M. . "A Rare Case of Lupus Vulgaris in a Private Tertiary Health Facility in South-Western Nigeria" 27, no (), (2018): 1-1.

AKINOLA,M. and . (2018). A Rare Case of Lupus Vulgaris in a Private Tertiary Health Facility in South-Western Nigeria, 27 (), pp1-1.

AKINOLAM, . A Rare Case of Lupus Vulgaris in a Private Tertiary Health Facility in South-Western Nigeria. 2018, 27 ():1-1.

AKINOLA,Moses , . "A Rare Case of Lupus Vulgaris in a Private Tertiary Health Facility in South-Western Nigeria", 27 . (2018) : 1-1.

A.Moses , "A Rare Case of Lupus Vulgaris in a Private Tertiary Health Facility in South-Western Nigeria" vol.27, no., pp. 1-1, 2018.

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