Unilateral lymphoedema of lower limb: an unusual presenting feature of hidden tuberculosis verrucosa cutis of foot.
Maninder KaurDinesh P AsatiUjjawal KhuranaSuman PatraPublished in: BMJ case reports (2020)
A 42-year-old Indian farmer presented with gradually progressive swelling of the right lower limb for the last 20 years. There were few verrucous plaques over the right foot for the same duration. Those plaques were initially ignored and mistaken as lymphoedema-induced secondary changes by primary care physicians. Histopathology of the skin lesion showed pseudoepitheliomatous hyperplasia with upper dermal granulomatous infiltrate and a diagnosis of tuberculosis verrucosa cutis was suspected. Subsequently, the lesions as well as lymphoedema improved significantly with antitubercular therapy.
Keyphrases
- lower limb
- primary care
- mycobacterium tuberculosis
- pulmonary tuberculosis
- hiv aids
- high glucose
- multiple sclerosis
- wound healing
- diabetic rats
- machine learning
- pulmonary embolism
- general practice
- deep learning
- interstitial lung disease
- case report
- adverse drug
- soft tissue
- emergency department
- drug induced
- systemic sclerosis
- rheumatoid arthritis
- bone marrow
- endothelial cells
- neural network
- human immunodeficiency virus
- idiopathic pulmonary fibrosis
- hiv infected