Unilateral Multifocal tuberculosis Verrucosa Cutis: A Diagnostic Challenge

Tuberculosis verrucosa cutis (TVC) is a common exogenous form of cutaneous infection in individuals with moderate-to-high degree of immunity to Mycobacterium tuberculosis . TVC constitutes a small proportion of extrapulmonary tuberculosis which manifests as well-defined warty plaques occurring mostly on hands, knees, ankles, and buttocks. We herein report a case of TVC with unilateral and multifocal involvement in a 36-year-old male which was undiagnosed for 25 years. The diagnosis was confirmed by histopathology, and the patient responded well to antituberculous treatment.