A Farmer has a single way lesion on leg. Which of the following could be most likely lesion
Tuberculous verrucous cults Tuberculous Verrucosa cutis or way tuberculosis is a verrucous forms of skin tuberculosis in previously sensitized individuals due to exogenous reinfection with mycobacterium Tuberculous or M.bovis and reflects good cell mediated immunity. Most cases of Tuberculous verrucosa culls are due to an exogenous reinfection in individuals as a result of accidental inoculation of mycobacterium Tuberculosis in previously infected or sensitized individual with a moderate to high degree of slowly evolving cell immunity. Most of the patients are involved in heavy manual work and they run a greater risk of sustaining injury. Tuberculous verrucous vulgaris lesions mostly occur in lower limbsQ A definite history of trauma precedes the onset of Tuberculous verrucous vulgaris in many of the patients. The patients are usually engaged in heavy manual work and being engaged in these works they are more prone .for frequent injuries. The resultant trauma might provide a poal of entry to the AFB. Tuberculosis verrucosa cutis usually begins as a solitary napulonodule following a tril injury or trauma on one of the extremities that soon acquires a scaly and verrucous surface. The lesion which is usually persistent, expands slowly over several months or years with or without central clearing and atrophy. Diagnosis Postive inycobacterial culture and characteristic histopathalogical findings on biopsy specimens. Treatment Responds well to A.T.T. Verrucus vulgaris Also known as common was. It is a benign skin growth caused by viral infection in the skin. They usually,cause cosmetic concerns. They are usually multiple and may arise on any skin surface but occurs most commonly on a person's leg, feet and toes or arms, hands and .fingers, Was are usually caused by human papilloma virus (HPV). HPV is also comnonly associated with the genital was. Lichen planus hyperophicus It is a variant of lichen planus It can he easily differentiated from tuberculous verrucus cutis as these cases are characterized by : -- Bilaterally symmetrical multiple way lesions. Mycetoma Mycetoma is characterized by lesions with "multiple draining sinuses".
Verruca vulgaris
Tuberculosis verrucosa cutis
Mycetoma
Lichen planus hyperophicus