Lupus vulgaris of the ocular adnexa

Authors

  • Mary Ruth Quilendrino, MD Department of Ophthalmology and Visual Sciences University of the Philippines-Philippine General Hospital Manila, Philippines Author
  • Jacinto Dy-Liacco, MD Department of Ophthalmology and Visual Sciences University of the Philippines-Philippine General Hospital Manila, Philippines; Institute of Ophthalmology University of the Philippines-National Institutes of Health Manila, Philippines Author
  • Ruben Lim Bon Siong, MD Department of Ophthalmology and Visual Sciences University of the Philippines-Philippine General Hospital Manila, Philippines Author

Keywords:

Lupus vulgaris, Ocular adnexa, Cutaneous tuberculosis, Granuloma

Abstract

Objective: To 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.

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Published

2007-12-01

Issue

Vol. 32 No. 2

Section

Case Report

License

Copyright (c) 2007 Philippine Journal of Ophthalmology

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.