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At her admission, there was an erythematous, ulcerated placard, 10 × 8.5 cm, recovered with crust and oozing on which was many fold flubbydermic micronodules brown-yellowish at vitro-pressure, giving to lesion an lupoid aspects (Fig. 1a). Otherwise, the rest of the clinical examination was normal including pleuro-pulmonary, digestive and osteo-articular examination. Everything was evolving in a context of apyrexia and conservation of the general state. Cutaneous biopsy found a granuloma with epitheliod and giant cells without caseous necrosis (Figs. 2a and 2b).

Unrecognized lupus vulgaris, revealed by its treatment