Abstract

Tuberculosis is still among the major community health problems worldwide. The clinical diversity of cutaneous tuberculosis depends on the route of acquisition of infection and on the patient's immune system. Tuberculosis verrucosa cutis (TVC) results from an exogenous inoc - ulation of Mycobacterium tuberculosis, at sites prone to trauma. The lesion begins as a small, asymp - tomatic, indurated wart-like papule with a subtle inflammatory rim. It gradually enlarges in a serpiginous manner to form a firm reddish-brown verrucous plaque. The center of the lesion can become fluctuant and pus and keratinaceous debris may be expressed by slight pressure. We pre - sented a case of TVC, which was misdiagnosed as verruca vulgaris and had received prior treat - ments including topical salicylic acid, topical 5-fluorouracil, and several successive cryotherapy and cautery sessions.

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