What is lupus vulgaris?
lupus vulgaris is a painful nodular skin condition most commonly caused by microorganism mycobacterium tuberculosis . It usually affects the face or buttocks and suitcases. The term "lupus" is used to indicate ulceration and necrosis of the skin that occurs when it is not treated. Lupus vulgaris is also known as tuberculosis of luposa cutis or tuberculosis cutis luposa due to its etiological agent. Like any other form of tuberculosis, it is healing with a four drug combination of isoniazide, rifampicin, ethambutol and pyrazinamide. When TB occurs in other organs and tissues, it is marked as extrapulmonary TB. There are various forms of extrapulmonary TB, including milliars of tuberculosis, scruffula, TB Verrucosa cutis, tubercids, metastatic tuberculosal abscesses and metastatic tuberculosal ulceration or tuberculous gumma. These, along WLUPUS vulgaris, may be present as skin conditions caused by TB infection. Initial lesions are small and sharply defined nodes, with a reddish -brown shade and gelatin. These lesions are also known as apple jubs. The persistence of these lesions leads to coalescence and destruction of tissues. There is no age group freed from lupus vulgaris, but most patients go to the doctor before age 30 years with these symptoms.
The head and neck area is usually influenced between the Caucasus. In Asians, lupus vulgaris occurs more often on buttocks and limbs. Some cases of penis connection were also reported.
The causing organism reaches the skin through various routes. One route is direct inoculation where the body spreads to tdermis after entering the open wound of the skin. Hematogenic or blood, route and lymphatic path can be used when the body is transferred to the skin from the affected internal organ. Another route is a direct extension, either from infected joints or glands under the skin.
diagnosis of lupus vulgaris is confirmed by skin biopsy Pspiny areas. Histopathological results would present the presence of epithelial granulomas that contain sour fast bacilli. To exclude coexisting TB pulmonary infection, sputum culture or chest X -ray beam can be required. Mantoux tuberculin and other radiological examination can also be performed.
The most effective treatment of lupus vulgaris is oral intake of antitubercular drugs. Other antibiotics may also be administered to treat any secondary bacterial infections. Treatment with these drugs takes months or years depending on the severity of the disease. When the face is seriously disfigured by the nebovel skin surfaces are necrotic, surgical excision of affected areas can be recommended.