Abstract:
Lupus vulgaris is the most common form of cutaneous tuberculosis which usually occurs in
patients who have been previously sensitized to Mycobacterium tuberculosis.[1] We present
a case of a 4-year-old girl who was diagnosed to have lupus vulgaris clinically and was then
confirmed histopathologically. On local examination, the patient had irregularly bordered, well
demarcated, whitish to reddish lesion on her external nose. The histopathological examination
showed many dermal stromal granulomas of epithelioid cells, many multinucleated giant cells
of Langhans type. This case report is therefore to emphasize on the importance of early
diagnosis of lupus vulgaris of the external nose both clinically and on histopathological basis
so as to avoid its destructive consequences which are mainly erosion of the external nose, nasal
cavity and the face and in rare occasions, possible development of a carcinoma of squamous
cell type.
