Tuberculosis verrucosa cutis with liver involvement

Summary A 40‐year‐old male peasant with a long‐lasting (33‐year) lesion of tuberculosis verrucosa on his right buttock is reported. Mycobacterium tuberculosis var. hominis was cultured from the lesion. Epithelioid cell granuloma was detected on the biopsy of the enlarged liver with normal I unction tests. The cutaneous lesion healed under systemic specific chemotherapy and local cryotherapy. Asymptomatic liver involvement is relatively common in the course of pulmonary and extrapulmonary tuberculosis and probably is nor sis uncommon on virulent forms of cutaneous tuberculosis as the scarcity of reports suggests.