{
  "abstract": "Cutaneous tuberculosis (TB) is a rare extrapulmonary manifestation that often presents atypically, particularly in patients with comorbid conditions like diabetes mellitus. Such presentations frequently lead to diagnostic delays and prolonged morbidity.We report the case of a woman in her late 40s with type 2 diabetes who presented with a chronic, progressively enlarging facial plaque and systemic constitutional symptoms. While radiological findings were highly suggestive of pulmonary TB, repeated sputum testing was inconclusive. Diagnostic confirmation was achieved through tissue-based molecular testing of the skin lesion. The patient showed an excellent clinical response to standard anti-tubercular therapy.This case highlights the necessity of maintaining a high index of clinical suspicion for TB in diabetic patients presenting with chronic skin lesions and underscores the vital use of molecular diagnostics, such as cartridge-based nucleic acid amplification test (CBNAAT), in identifying paucibacillary disease.",
  "authors": [
    {
      "affiliations": [
        "Respiratory Medicine, Sumandeep Vidyapeeth Deemed to be University, Vadodara, Gujarat, India"
      ],
      "name": "Chirag H Chakravarti"
    },
    {
      "affiliations": [
        "Respiratory Medicine, Sumandeep Vidyapeeth Deemed to be University, Vadodara, Gujarat, India"
      ],
      "name": "Yash Lalitbhai Patel"
    },
    {
      "affiliations": [
        "Respiratory Medicine, Sumandeep Vidyapeeth Deemed to be University, Vadodara, Gujarat, India"
      ],
      "name": "Bhavesh M Patel"
    },
    {
      "affiliations": [
        "Respiratory Medicine, Sumandeep Vidyapeeth Deemed to be University, Vadodara, Gujarat, India"
      ],
      "name": "Arti D Shah"
    }
  ],
  "title": "Atypical facial plaque in diabetes unmasking cutaneous and pulmonary tuberculosis",
  "uid": "3774ae71-41fc-5f00-9b99-fdc549f031ef"
}