TB Research

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

Suba Paneerselvam, Saritha Mohanan, Shanmathi Sethumadhavan, C S Banushree, R Remya Raj, C Udayashankar

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