Maza A, Morel F, Pommier S, Vedy S, Lightburn E, Roux L, Patte JH, Meyer F, Morand JJ. [Tubercular fibrosing conjunctivitis associated with facial cutaneous tuberculosis].
Ann Dermatol Venereol 2008;
135:679-81. [PMID:
18929919 DOI:
10.1016/j.annder.2008.03.026]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2007] [Accepted: 03/28/2008] [Indexed: 11/25/2022]
Abstract
BACKGROUND
Tuberculous conjunctivitis has been described only rarely during the course of lupus vulgaris. We report a case of hemifacial cutaneous tuberculosis, diagnosed as atypical lupus vulgaris, associated with homolateral fibrosing tuberculous conjunctivitis.
PATIENTS AND METHODS
An 83-year-old woman presented inflammatory conjunctivitis without bullous involvement in the left eye leading to corneal neovascularisation, symblepharons and ptosis. Erythematous and atrophic papules were seen on the left side of the face. Biopsy of the skin and conjunctiva revealed a tuberculoid granulomatous infiltrate. Bacterial culture and PCR were both positive for Mycobacterium tuberculosis.
DISCUSSION
This case illustrates the need to consider tuberculosis when faced with an atypical facial eruption and ocular involvement.
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