Successful complex treatment of tuberculous lupus of the skin on the face

Tuberculosis is an infectious disease caused by Mycobacterium tuberculosis, characterized by pronounced clinical heterogeneity and the development of a specific inflammatory reaction in the organs and tissues of the human body. Tuberculosis of the skin can be acquired as a result of direct contact, as well as lymphohematogenous or hematogenous genesis from another focus. Among all localizations of extrapulmonary tuberculosis, skin lesions occupy the fifth place, behind to tuberculosis of bones and joints, lymph nodes, genitourinary and digestive systems. The increasing growth of tuberculosis among the population of the Russian Federation determines the relevance of timely correct diagnosis. The difficulties in diagnosing this disease are predetermined by the fact that atypical manifestations often occur, as well as the fact that clear histological and morphological signs of tuberculosis of the skin are not always noted. The article presents epidemiological data on the incidence of tuberculosis of the skin and the classification used in practical medicine. Modern methods of diagnosing the disease are described. The relevance of the clinical case presented in this article is due to the difficulties of diagnosis and low awareness of specialists. Thus, being under the supervision of a dermatovenerologist with a false diagnosis for 7 years, the patient achieved clinical remission after 8 months of specific therapy thanks to the joint work of a dermatovenereologist and a phthisiatrician.