This lady presented with granulomatous lesions over the face of 6 months duration (Derm round 11). She had a skin biopsy done and was empirically covered with T. EES (Erythromycin) 400mg BD for two weeks.Her biopsy was later reported as chronic granulomatous lesion, suggestive of atypical mycobateria infection.
On two weeks follow-up, surprisingly, the lesions had flattened >50% with areas of scaling and crusting.
We extended another two weeks of EES and will be discussing her HPE in the next combine meeting. KIV may need to start on anti-TB if indicated.
2 comments:
why not starting now?
We need to double sure about her diagnosis first before subjecting patient to anti-TB treatment. Surprisingly, the lesions responded to Erythromycin alone.
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