Tuberculosis verrucosa cutis (TVBC) is one of a variety of manifestations of tuberculosis infection of the skin. Other names have included warty tuberculosis, prosector's wart, butcher's wart, anatomist's wart, and postmortem wart.
TBVC and lupus vulgaris (LV) are similar in that they both represent Mycobacterium tuberculosis infection of the skin in a patient with moderate to high immunity. The morphology is different however in that TBVC is chronic and verrucous whereas LV presents usually as a single soft, flat infiltrated plaque, with apple jelly nodules at the edge.
Warty, verrucous, slowly expanding lesions are seen. These indolent, verrucous nodules or plaques are often surrounded by inflammatory borders and may extend centrifugally for years. The center may clear partially or fully. Lesions may be present for decades. Lymphadenopathy may accompany the lesions. TBVC usually occurs on the hands in adults and on the lower extremities in children. Walking barefoot may lead to TBVC on the sole.
The latest antituberculous treatment recommendations should be consulted.
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