A seventy-four-year-old patient had lupus vulgaris associated with the nodu
lar, confluent ulcerated type of pulmonary tuberculosis. The diagnosis had
been missed on several occasions, The presence of cutaneous tuberculosis in
developed countries is emphasized again. It is also stressed that chronic
dermatosis of unknown nature in an immunocompetent patient may have a tuber
cular origin, Complete resolution of the disease was achieved after almost
two years of anti-tubercular therapy.