Papulonecrotic tuberculide (PNT) is a rare form of skin tuberculosis affect
ing predominantly young adults, with a history of immunity to Mycobacterium
tuberculosis. We report a case of a young Caucasian female with PNT who wa
s also documented to have a stenotic segment in the abdominal aorta. The di
fficulty in clarifying and treating the primary disease and the association
between a tuberculous infection and Takayasu's arteritis are discussed.