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LETTER TO EDITOR
Year : 2019  |  Volume : 3  |  Issue : 2  |  Page : 157

Myxomatous form of lupus vulgaris in ear: A rare presentation


Department of Paediatrics, Al-Kindy College of Medicine, University of Baghdad, Baghdad, Iraq

Date of Web Publication15-Jul-2019

Correspondence Address:
Mahmood Dhahir Al-Mendalawi
P.O. Box 55302, Baghdad Post Office, Baghdad
Iraq
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2542-551X.262767

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How to cite this article:
Al-Mendalawi MD. Myxomatous form of lupus vulgaris in ear: A rare presentation. Clin Dermatol Rev 2019;3:157

How to cite this URL:
Al-Mendalawi MD. Myxomatous form of lupus vulgaris in ear: A rare presentation. Clin Dermatol Rev [serial online] 2019 [cited 2019 Aug 23];3:157. Available from: http://www.cdriadvlkn.org/text.asp?2019/3/2/157/262767



Sir,

I read with interest the case report by Chandrakala and Tharini[1] published in the January–June 2019 issue of the Clinical Dermatology Review. The authors nicely described the rare picture of myxomatous form of lupus vulgaris (LV) in the ear in a 45-year-old Indian patient. It is obvious that due to low immunity, subjects infected with human immunodeficiency virus (HIV) are vulnerable to various types of infections, including tuberculosis (TB) compared to subjects with healthy immune system. Among TB varieties, cutaneous TB has been reported among HIV-positive subjects.[2] In India, HIV infection is a substantial health hazard with the national HIV seroprevalence of 0.26% compared with a global average of 0.2%.[3] It has been recommended that all TB patients in India should be assessed for HIV risk factors and counseled to undergo HIV testing. Conversely, all HIV-positive cases should be screened for TB.[4] Interestingly, HIV concurrence has been reported in 9.1% of all cutaneous TB cases in India with LV constituting 31% of cases.[5] I assume that LV and HIV concurrence would have to be taken into consideration in the case in question, and hence, HIV testing through the diagnostic algorithm of blood CD4 lymphocyte count and viral overload measurements would have to be solicited.

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Chandrakala C, Tharini GK. Myxomatous form of lupus vulgaris in ear: A rare presentation. Clin Dermatol Rev 2019;3:89-91.  Back to cited text no. 1
  [Full text]  
2.
Mann D, Sant'Anna FM, Schmaltz CA, Freitas DF, Rolla VC, Cavalcante SC, et al. Cutaneous tuberculosis and HIV infection at a referral centre in Rio de Janeiro, Brazil. Mem Inst Oswaldo Cruz 2018;113:e180-4.  Back to cited text no. 2
    
3.
Paranjape RS, Challacombe SJ. HIV/AIDS in India: An overview of the Indian epidemic. Oral Dis 2016;22 Suppl 1:10-4.  Back to cited text no. 3
    
4.
Manjareeka M, Nanda S. Prevalence of HIV infection among tuberculosis patients in Eastern India. J Infect Public Health 2013;6:358-62.  Back to cited text no. 4
    
5.
Varshney A, Goyal T. Incidence of various clinico-morphological variants of cutaneous tuberculosis and HIV concurrence: A study from the Indian subcontinent. Ann Saudi Med 2011;31:134-9.  Back to cited text no. 5
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