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Is lupus tuberculosis?

Published in Tuberculosis Infections 2 mins read

No, lupus is not tuberculosis, but lupus vulgaris is a form of cutaneous tuberculosis.

While the term "lupus" is more commonly associated with the autoimmune disease systemic lupus erythematosus (SLE), lupus vulgaris is a distinct condition that is related to tuberculosis. The confusion arises from the shared "lupus" in their names.

Understanding Lupus Vulgaris

Lupus vulgaris, also known as tuberculosis luposa, is a specific manifestation of Mycobacterium tuberculosis infection in the skin. It is the most common type of cutaneous tuberculosis.

Key Characteristics of Lupus Vulgaris:

  • Cause: Infection by Mycobacterium tuberculosis.
  • Appearance: Painful, nodular skin lesions.
  • Location: Typically found on the face, especially around the nose, eyelids, lips, cheeks, ears, and neck.
  • Nature: A form of cutaneous tuberculosis.

Distinguishing Lupus Vulgaris from Systemic Lupus Erythematosus (SLE):

Feature Lupus Vulgaris (Cutaneous Tuberculosis) Systemic Lupus Erythematosus (SLE)
Cause Mycobacterium tuberculosis infection Autoimmune disease
Nature Infectious disease Autoimmune disorder
Symptoms (Cutaneous) Painful skin lesions, nodules, typically on the face Butterfly-shaped rash on the face, discoid lesions, photosensitivity, etc.
Systemic Involvement Usually localized to the skin Can affect multiple organs, including the kidneys, heart, lungs, brain, and blood.

In conclusion, while lupus vulgaris is a form of tuberculosis affecting the skin, the term "lupus" on its own usually refers to systemic lupus erythematosus (SLE), which is an autoimmune disease and not tuberculosis.

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