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Dear Sir,
A 20-year-old woman presented with recurrent painful left auricular erosive plaque for 6 months with left sided cervical and submandibular lymphadenopathy for 5 moths. Her FNAC of lymph node result was lymphadenitis and IGRA test was positive for M tuberculosis. She denied open biopsy for cosmetic purpose. Can we start Cat-1 anti-tb medicine for her.
I need your valuable opinion.
With regards.
Dr. Md. Mostaque Mahmud, Asst. Professor, Dermatology & Venereology,
Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
Attachment: Picture of the case (with consent of patient)
I think there is no aesthetic concern in this area. Im pretty sure that a 3 mm punch biopsy will be scar-free and useful for documentation of the disease. However, you could start treatment without this exam if you already made the identification.
best
J
did you take the biopsi - interested in the answer from histopathology
Best
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