Lupus Vulgaris

Tuberculosis remains one of the most important infectious diseases involving all countries worldwide because of lOto 12 million incident cases and mortality rates over 3 millions annually. it is inevitable that the recent increase in pulmonary tuberculosis will also lead to an increase in dermal tuberculosis. Therefore, two cases of dermal tuberculosis recently diagnosed and treated in our department are presented and discussed. Case 1: A 51 year-old female patient with a scaly papular lesion of 10 cm diameter over the right facial region extending from the front ear area to below the jaw and characterized by an atrophic base with a peripheral erythematous border. 1-listopathologically, lupus vulgaris was diagnosed and an antituberculosis treatment started thereafter. Case 2: A 11 year-old female patient having hemorrhagic, crusty and erythematous nodular lesions with an atrophic base of 4-5 cm over the left mandibular area and a post-lesianal scar below the Jaw. A necrotizing granulomatous dermatitis was seen in a biopsy from the lesion. peR examination of the lesion revealed m. tuberculosis DNA positivity and a PPD test was measured to be i 9 mm. Diagnosed as having lupus vulgaris. the treatment was started.