Abstract: A 18-year-old male presented with the extension of reddish papules from the right hand back to the forearm for nine months. Histopathology revealed tuberculoid granulomas composed of epithelioid cells, lymphocytes, and Langhans giant cells in upper dermis. The diagnosis of lupus vulgaris was made. The patient was treated with standard four-drug antitubercular therapy (isoniazid 0.3 g, rifampicin 0.45 g, pyrazinamide 1.25 g, and ethambutol 0.75 g once a day). The lesions almost resolved after six months treatment.

Key words: lupus vulgaris, cutaneous tuberculosis