Vol 32 No 2 CASE REPORT PDF

Lupus vulgaris of the ocular adnexa

Mary Ruth Quilendrino, MD, Jacinto Dy-Liacco, MD, Ruben Lim Bon Siong, MD

ObjectiveTo describe a case of lupus vulgaris of the ocular adnexa with secondary pyogenic infection.

Method
This is a case report.

Result
A three-year-old boy presented with a well-defined, reddish skin lesion with ulceration, necrosis, and granuloma formation, topped with pustules and crusts, on the right eyelid, malar and nasal area. Mantoux test and acid-fast bacilli smear of skin punch biopsy were positive. Culture of the discharge from the lesion revealed Streptococcus pyogenes and Staphylococcus aureus. After antibiotic treatment and triple-drug antituberculous therapy, there was marked improvement of the lesion, but leaving behind ectropion and skin defect of the right lower lid.

Conclusion
Awareness of lupus vulgaris, with its various clinical manifestations, is crucial in its early diagnosis and treatment, preventing extensive and irreparable damage to involved and surrounding structures.

Keywords: Lupus vulgaris, Ocular adnexa, Cutaneous tuberculosis, Granuloma