Lupus Vulgaris Coexisting with Sinonasal Tuberculosis and Tuberculous Dacrocystitis

Abstract

We describe the case of a 72-year-old female diabetic who presented with epiphora and purulent discharge from the right eye for the past 2 years and multiple skin lesions over the right upper eyelid and right arm for 1 year. Computed tomography of the paranasal sinuses revealed mucosal thickening in the frontal and ethmoidal sinuses, with a polypoidal mass from the right side of the nasal septum and dacrocystitis. The histopathology of the skin lesion was suggestive of lupus vulgaris (LV). There was no evidence of pulmonary tuberculosis. This case was a rare coexistence of LV with sinonasal tuberculosis and dacrocystitis.

Keywords

• dacryocystitis
• eyelid
• lupus vulgaris
• sinonasal
• sinusitis
• tuberculosis