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Case report
Unilateral lymphoedema of lower limb: an unusual presenting feature of hidden tuberculosis verrucosa cutis of foot
  1. Maninder Kaur1,
  2. Dinesh P Asati1,
  3. Ujjawal Khurana2 and
  4. Suman Patra1
  1. 1Dermatology, All India Institute of Medical Sciences Bhopal, Bhopal, Madhya Pradesh, India
  2. 2Pathology and Lab Medicine, All India Institute of Medical Sciences Bhopal, Bhopal, Madhya Pradesh, India
  1. Correspondence to Dr Suman Patra; patrohere{at}


A 42-year-old Indian farmer presented with gradually progressive swelling of the right lower limb for the last 20 years. There were few verrucous plaques over the right foot for the same duration. Those plaques were initially ignored and mistaken as lymphoedema-induced secondary changes by primary care physicians. Histopathology of the skin lesion showed pseudoepitheliomatous hyperplasia with upper dermal granulomatous infiltrate and a diagnosis of tuberculosis verrucosa cutis was suspected. Subsequently, the lesions as well as lymphoedema improved significantly with antitubercular therapy.

  • dermatology
  • infections
  • skin
  • tropical medicine (infectious disease)
  • TB and other respiratory infections

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  • Contributors MK, DPA and SP have contributed in clinical diagnosis, writing and formatting the clinical description and discussion part of the manuscript. SP and MK contributed in acquisition and interpretation of the information, both from the current patient and previous articles. UK has contributed in histopathology portion, both in collection and interpretation of the information. Drafting was done with the help of all the authors and everyone independently approved the version to be published. All the authors were in complete agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer-reviewed.

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