A rare form of tuberculosis: a case of tuberculosis verrucosa cutis

Year 2024, Volume: 7 Issue: 6, 703 - 705, 27.10.2024

Enes Dalmanoğlu

Abstract

Cutaneous involvement is a relatively uncommon manifestation of tuberculosis. Cutaneous lesions account for less than 2 percent of all extrapulmonary manifestations. Due to the paucibacillary nature of the lesions, there is a potential for misdiagnosis, which could result in the chronicity of the skin infection. This article presents the case of a 34-year-old male butcher who presented with plaques exhibiting characteristics of verrucosa, acanthosis, and hyperkeratosis on both fingers for a period of 10 years. The diagnosis of Mycobacterium tuberculosis was confirmed by histopathologic examination. The patient was subsequently treated with a standard anti-tuberculosis regimen, which resulted in notable improvement in the skin lesions.

Keywords

Tuberculosis verrucosa cutis, Mycobacterium tuberculosis, extrapulmonary tuberculosis, cutaneous lesions

References

• Rosero C, Baldeón L, Alulema V, et al. Cutaneous tuberculosis, different clinical spectrum of the same disease: the importance of pre-test probability. Dermatol Reports. 2024;16(2):9770.
• Chen Q, Chen W, Hao F. Cutaneous tuberculosis: a great imitator. Clin Dermatol. 2019;37(3):192-199.
• Khondker L, Wahab F, Nasim R, Mahmud H. Cutaneous tuberculosis with uncommon presentation: a case report and review of literatüre. J Pakistan Assoc Dermatol. 2020;30(1):190-197.
• Dias MF, Bernardes Filho F, Quaresma MV, Nascimento LV, Nery JA, Azulay DR. Update on cutaneous tuberculosis. An Bras Dermatol. 2014;89(6):925-938.
• Sehgal VN, Sehgal R, Bajaj P, Sriviastava G, Bhattacharya S. Tuberculosis verrucosa cutis (TBVC). J Eur Acad Dermatol Venereol. 2000;14(4):319-321.
• Santos JB, Figueiredo AR, Ferraz CE, Oliveira MH, Silva PG, Medeiros VL. Cutaneous tuberculosis: epidemiologic, etiopathogenic and clinical aspects-part I. An Bras Dermatol. 2014;89(2):219-228.
• Kim G, Jeong YI, Huh JW, Kim EJ, Joh OJ. I Interferon-gamma release assay in a patient with tuberculosis verrucosa cutis. Ann Dermatol. 2015;27(1):109-110.
• Brito AC, Oliveira CMM, Unger DA, Bittencourt MJS. Cutaneous tuberculosis: epidemiological, clinical, diagnostic and therapeutic update. An Bras Dermatol. 2022;97(2):129-144.
• Ahmed A, Hagelnur AA, Eltigani HF, Siddig EE. Cutaneous tuberculosis of the foot clinically mimicking mycetoma: a case report. Clin Case Rep. 2023;11(5):7295.
• De Maio F, Trecarichi EM, Visconti E, Sanguinetti M, Delogu G, Sali M. Understanding cutaneous tuberculosis: two clinical cases. JMM Case Rep. 2016;3:6.