Lupus Vulgaris on Face: A Case Report From Rural Nepal

infection via hematogenous, lymphatic, or direct transmission in individuals with moderate immunity and high tuberculin sensitivity. It predominantly affects females, constituting 1%-2% of extrapulmonary tuberculosis cases, with facial and neck involvement being most frequent. We report a case of a 66-year-old female from rural Nepal presenting with an 8-month history of a non-itchy, erythematous plaque on the left cheek, diagnosed as LV through clinical, histopathological, and tuberculin test findings. She responded well to a 6-month antitubercular therapy regimen providing a strong message that LV should be considered in chronic, nonhealing facial lesions, especially in endemic areas.