TB Research

Disseminated Lupus Vulgaris Revealing Multifocal Tuberculosis in a Patient with HIV: A Case Report

Paneerselvam S, Mohanan S, Sethumadhavan S, Banushree CS, Raj RR, Udayashankar C

The Journal of the Association of Physicians of India · 2025-06

Abstract

Lupus vulgaris is the most common type of cutaneous tuberculosis, known for its diverse clinical presentations, particularly in association with human immunodeficiency virus (HIV) infection. We report a case of disseminated lupus vulgaris with plaques and ulcerative morphology. Despite negative smear and culture results, histopathological examination revealed granulomatous reactions. Further evaluation, including lymph node biopsy and cartridge-based nucleic acid amplification test (CBNAAT), confirmed multifocal tuberculosis.

MeSH terms

  • Humans
  • Tuberculosis, Cutaneous
  • HIV Infections
  • Antitubercular Agents
  • Adult
  • Male
  • Lupus Vulgaris