Tuberculosis Verucossa Cutis of Hand: A Case Report

Prathyusha M,Sandra Puthean,Amila Sainudheen

doi:10.3126/njdvl.v19i2.36303

Abstract

Tuberculosis verrucosa cutis (TBVC) is exogenous paucibacillary cutaneous tuberculosis (CTB) and is the third commonest type of CTB. Clinically, TBVC usually begins as isolated or multiple warty papules, and soon acquires a verrucous plaque and are usually located in the extremities. Here we report a case of 41-year-old South Indian woman presenting with occasional pruritus, erythematous scaly nodules and warty plaques on the back of right hand following nail prick. A positive Mantoux test, skin biopsy showing granuloma and related epidemiologic, clinical and histopathologic data with an excellent response of patient to the treatment confirmed TBVC.

Highlights

Tuberculosis (TB) has always remained one of the top ten leading causes of death and has diverse pulmonary and extra-pulmonary presentation. 1,2 Approximately 1.7 billion people are infected with Mycobacterium tuberculosis and are at risk of disease development globally.[1]
1 TB reflects socioeconomic welfare indicators, exemplified by the situation in developing countries including India with devastating morbidity and mortality. This case report presents a rare form of extrapulmonary tuberculosis, Tuberculosis verrucosa cutis (TBVC) a type of cutaneous tuberculosis (CTB)
CTB can be classified as exogenous, endogenous, tuberculids and CTB secondary to Bacillus Calmette-Guerin (BCG) vaccination

Summary

Introduction

Tuberculosis (TB) has always remained one of the top ten leading causes of death and has diverse pulmonary and extra-pulmonary presentation. 1,2 Approximately 1.7 billion people are infected with Mycobacterium tuberculosis and are at risk of disease development globally.[1]. Clinical features of TBVC typically presents with well-defined warty plaques seen mostly on hands, knees, ankles and buttocks; variations in morphology have been observed.[6] Hereby present a case of 41-year-old South Indian woman who had TBVC presenting as occasionally pruritic, erythematous scaly nodules and warty plaques on the back of right hand.

Results

Conclusion