Journal of Preventive, Diagnostic and Treatment Strategies in Medicine

CASE REPORT
Year
: 2022  |  Volume : 1  |  Issue : 1  |  Page : 63--66

The diagnostic conundrum of lupus vulgaris versus cutaneous sarcoidosis


K Geetha1, Puja2, Niraj Kumari3, Shruti Gupta3 
1 Department of Dermatology, AIIMS Raebareli, Raebareli, Uttar Pradesh, India
2 Department of Pharmacology, AIIMS Raebareli, Raebareli, Uttar Pradesh, India
3 Department of Pathology and Lab Medicine, AIIMS Raebareli, Raebareli, Uttar Pradesh, India

Correspondence Address:
K Geetha
Department of Dermatology, AIIMS Raebareli, Raebareli, Uttar Pradesh
India

Infection with Mycobacterium tuberculosis causes tuberculosis (TB). Lupus vulgaris is one of the most common forms of cutaneous TB, which affects 1%–2% of TB patients. Sarcoidosis is a multisystem granulomatous disease with an unknown origin, and skin involvement is the second most common symptom. Both TB and sarcoidosis are granulomatous diseases. Depending on investigations, it is often hard to distinguish sarcoidosis from TB, especially when serum angiotensin-converting enzyme levels are high in certain cases of TB with negative acid-fast staining in the biopsy specimen. This is a report of two patients where there was trouble distinguishing between sarcoidosis and TB based on laboratory reports but was eventually diagnosed with cutaneous TB based on the Mantoux, QuantiFERON-TB Gold test, and histopathological pattern. Anti-TB therapy was administered to those patients, and the skin lesions resolved completely.


How to cite this article:
Geetha K, Puja, Kumari N, Gupta S. The diagnostic conundrum of lupus vulgaris versus cutaneous sarcoidosis.J Prev Diagn Treat Strategies Med 2022;1:63-66


How to cite this URL:
Geetha K, Puja, Kumari N, Gupta S. The diagnostic conundrum of lupus vulgaris versus cutaneous sarcoidosis. J Prev Diagn Treat Strategies Med [serial online] 2022 [cited 2022 Jun 26 ];1:63-66
Available from: http://www.jpdtsm.com/article.asp?issn=WKMP-0260;year=2022;volume=1;issue=1;spage=63;epage=66;aulast=Geetha;type=0