TB Research

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

Suba Paneerselvam, Saritha Mohanan, Shanmathi Sethumadhavan, CS Banushree, Rohan Raj, Carounanidy Udayashankar

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

  • Lupus vulgaris
  • Tuberculosis
  • Medicine
  • Pathology
  • Biopsy
  • Human immunodeficiency virus (HIV)
  • Cutaneous tuberculosis
  • Systemic lupus erythematosus
  • Lymph node biopsy
  • Lymph node
  • Dermatology
  • Immunology