Lupus Vulgaris Serpiginous

Lupus vulgaris serpiginous: description and characteristics

Lupus vulgaris serpiginous (lat. Lupus vulgaris serpiginosus) is one of the forms of lupus - a chronic infectious skin disease caused by the Koch bacillus (Mycobacterium tuberculosis). This form of lupus is characterized by special clinical and morphological manifestations.

One of the features of lupus vulgaris serpiginosis is its slow progression and ability to relapse. The disease begins with the appearance of small dense nodules, which over time turn into characteristic reddish or yellowish papules. As the disease develops, the papules increase in size, merge with each other and form ribbon-shaped or oval lesions of the skin. These lesions may have uneven edges and a tendency to spread peripherally, which gives the appearance of the disease a characteristic “snake” outline - hence the name “serpiginous”.

Patients with lupus vulgaris serpiginosis usually do not experience severe symptoms, however, the disease can progress over years or decades, leading to significant skin damage and even deformity. The reason for such a long and chronic course is the ability of the Koch bacillus to survive long in the body and the ability to form tuberculous granulomas.

The diagnosis of lupus vulgaris serpiginosis is made on the basis of clinical examination, medical history, biopsy of the affected skin, and laboratory tests to detect Koch's bacillus. Treatment for this type of lupus usually involves the use of antibacterial drugs such as isoniazid, rifampicin, pyrazinamide, ethionamide and others for a long time (from several months to a year or more).

Overall, lupus vulgaris serpiginosis is a rare but serious disease that requires a comprehensive diagnosis and long-term treatment. Timely diagnosis and prescription of appropriate therapy can prevent further progression of the disease and minimize its negative consequences for the patient.

Lupus vulgaris serpiginous: features and treatment

Lupus vulgaris serpiginous (lat. Lupus vulgaris serpiginosus) is one of the varieties of lupus vulgaris - a chronic infectious skin disease caused by the Koch tuberculosis bacillus. This form of lupus is characterized by a special pattern of spread and progression.

The main symptom of lupus vulgaris serpiginous is nodular or nodular-ulcerative skin lesions, which usually begin as small spots and gradually spread to form the characteristic "serpiginous" form. These lesions can vary in size and shape, and their color can range from red to purple or brown.

Lupus vulgaris serpiginosis usually affects the skin of the face, neck, or extremities, but can spread to other areas of the body. The disease develops slowly and progresses over time, affecting larger and larger areas of the skin. Despite its slow progression, it can leave significant defects and scars on the skin, which affects the patient's appearance and self-esteem.

The cause of lupus vulgaris serpiginosis is an infection with the Koch tuberculosis bacillus, which can enter the body through wounds, microtrauma or contact with contaminated objects. It most often affects people with weakened immune systems and those living in countries with high rates of tuberculosis.

The diagnosis of lupus vulgaris serpiginous is usually based on clinical examination and a biopsy of the affected skin. Treatment involves the use of antibiotics such as isoniazid, rifampicin, and pyrazinamide for an extended period of time (several months to a year). Additionally, medications that strengthen the immune system and local treatment of affected skin areas may be prescribed.

It is important to note that treatment for lupus vulgaris serpiginosis can be lengthy and require close medical supervision. Regular consultations with a dermatologist and compliance with all prescriptions are necessary to achieve positive results.

Additionally, preventative measures such as maintaining good hygiene, avoiding contact with contaminated objects, and strengthening the immune system can help reduce the risk of contracting and spreading lupus vulgaris serpiginosis.

In conclusion, lupus vulgaris serpiginous is a chronic infectious skin disease that can lead to serious consequences and skin defects. Early consultation with a doctor and timely treatment with antibiotics and other appropriate medications are key to controlling this disease. Patients should also follow preventive measures and be regularly monitored by a specialist to monitor the condition of the skin and the effectiveness of treatment.