Lesion was seen on the face of 42 yr old patient as shown below Which of these would be the ideal management for this condition: (A) sta on ATT, (B) Topical retinoid, (C) Oral steroids, (D) sta on MDT for leprosy
Answer is A. LUPUS VULGARIS Unilateral , insidious Manifests begins as painless , soft , reddish-brown nodules which slowly enlarge to form irregularly shaped red plaque and later ulceration and scarring occurred (painful ). Often accompanied by lymphadenopathy. Complications - squamous cell carcinoma ref : thomas habif 7th ed