A case report of giant Lupus vulgaris

Authors

  • Kanchan Twati Department of Dermatology, Venerology and Leprology, Bir Hospital, National Academy of Medical Sciences, Mahaboudha, Kathmandu, Nepal
  • Shishan Dhakal Department of Dermatology and Venereology, Lumbini Provincial Hospital, Butwal, Rupandehi, Nepal
  • Asmita Acharya Department of Dermatology and Venereology, Lumbini Provincial Hospital, Butwal, Rupandehi, Nepal
  • Rushma Shrestha Department of Dermatology, Venerology and Leprology, Bir Hospital, National Academy of Medical Sciences, Mahaboudha, Kathmandu, Nepal

Keywords:

Cutaneous tuberculosis, giant lupus vulgaris, lupus vulgaris

Abstract

Lupus vulgaris is commonest form of cutaneous tuberculosis. It is a chronic and progressive disease with great variability in clinical presentation. It’s different variants are plaque form, ulcerative and mutilating form, tumour like and vegetative form. There are many reports on different form of Lupus vulgaris but there are only a few reports on large sized Lupus vulgaris. Here we report a case of 64 years male with giant Lupus vulgaris who presented with large plaque over right lower limb with contracture over knee. Histopathology showed numerous granulomas with multinucleated giant cells. The Mantoux test showed strong positivity. Case is being reported because of its extreme chronicity of 40 years duration and unusually large size.  

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Published

2025-12-31

Issue

Vol. 23 No. 2 (2025)

Section

Case Studies

License

Copyright © SAARC Tuberculosis and HIV/AIDS Centre (STAC), all rights reserved, no part of this publication may be reproduced, stored in a retrieval system or transmitted in any form or by any means without prior permission of the STAC.

How to Cite

Twati, K., Dhakal, S., Acharya, A., & Shrestha, R. (2025). A case report of giant Lupus vulgaris. SAARC Journal of Tuberculosis, Lung Diseases and HIV AIDS, 23(2), 42-46. https://doi.org/10.3126/saarctb.v23i2.97865