Lupus vulgaris is extremely chronic, and without therapy extends over many years and can lead to serious complication of development of carcinoma. A 30 years old male farmer presented with multiple plaques with verrucous surface over the dorsum of feet, shins, trunk, neck and face for 10 years and one large ulcerated growth on the left hand and forearm for 6 years. Physical examination revealed a large fungating growth extending from the left dorsum of hand to mid forearm.
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