Clinical Findings
A 24 year old man presented presented with a 3-5 months history of a well-defined erythematous plaque extended to involve the whole left hand middle finger, resembling lupus vulgaris. He also presented 1 ulcerated lesion on his left shoulder, and 1 papulonodular lesion on his left arm. He was a textile worker. He could not use his left hand due to the huge lesion on his middle finger. While, his general physical examination and systemic examination were normal.
The patient had no familial history for the development of CL. He had no travel to other CL endemic provinces. The patient had applied to different medical clinics in non-endemic provinces for CL for the diagnosis of the lesions he had. He was diagnosed as “lupus vulgaris” but he had not been treated for lupus vulgaris or CL. Then the patient applied to our dermatological clinic in Sanliurfa, a hyper-endemic province for CL.