{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,23]],"date-time":"2025-09-23T14:15:03Z","timestamp":1758636903978,"version":"3.40.4"},"reference-count":8,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>Tuberculosis (TB) is a global health problem with predominance in resource-poor countries. Extrapulmonary TB constitutes approximately 10% of the cases and can present as different forms depending on the route of entry. Cutaneous TB is a small subset of the extrapulmonary TB. Cutaneous TB can either be of primary origin or secondary origin or it can be a part of a systemic infection. TB verrucosa cutis (TBVC) is the exogenous reinfection of TB in a previously sensitised patient. Routine cultures do not have a high yield in TBVC due to the paucibacillary nature of the organism. Here we are presenting a rare case of a patient who developed in a keloid over the right ear lobule following ear piercing. This has only been presented once in the previous literature and for the first time in the head and neck region.<\/jats:p>","DOI":"10.1136\/bcr-2013-010294","type":"journal-article","created":{"date-parts":[[2013,7,11]],"date-time":"2013-07-11T05:32:10Z","timestamp":1373520730000},"page":"bcr2013010294","source":"Crossref","is-referenced-by-count":3,"title":["Tuberculosis verrucosa cutis in a patient with keloid over ear lobule"],"prefix":"10.1136","volume":"2013","author":[{"given":"Muhammad Sohail","family":"Halim","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sadaf Qadeer","family":"Ahmed","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Montasir","family":"Junaid","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muhammad Rizwan","family":"Bashir","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2013,7,10]]},"reference":[{"key":"2025042708343252000_2013.jul10_1.bcr2013010294.1","doi-asserted-by":"crossref","first-page":"550","DOI":"10.4103\/0019-5154.87153","article-title":"A clinical and histopathological profile of patients with cutaneous tuberculosis","volume":"2013","author":"Puri","year":"2011","journal-title":"Indian J Dermatol"},{"key":"2025042708343252000_2013.jul10_1.bcr2013010294.2","first-page":"10","article-title":"Cutaneous tuberculosis: a three year prospective study","volume":"2013","author":"Yasmeen","year":"2005","journal-title":"J Pak Med Assoc"},{"key":"2025042708343252000_2013.jul10_1.bcr2013010294.3","doi-asserted-by":"crossref","first-page":"75","DOI":"10.4103\/2006-8808.73620","article-title":"Tuberculosis verrucosa cutis developing over a keloid: a rare presentation","volume":"2013","author":"Kala","year":"2010","journal-title":"J Surg Tech Case Rep"},{"key":"2025042708343252000_2013.jul10_1.bcr2013010294.4","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1046\/j.1365-4362.2002.01440.x","article-title":"Clinical and epidemiological observations of cutaneous tuberculosis in Larkana, Pakistan","volume":"2013","author":"Bhutto","year":"2002","journal-title":"Int J Dermatol"},{"key":"2025042708343252000_2013.jul10_1.bcr2013010294.5","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1111\/j.1365-4632.2004.02019.x","article-title":"Tuberculosis verrucosa cutis: antitubercular therapy, a well-conceived diagnostic criterion","volume":"2013","author":"Sehgal","year":"2005","journal-title":"Int J Dermatol"},{"key":"2025042708343252000_2013.jul10_1.bcr2013010294.6","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1111\/j.1365-4362.1989.tb04810.x","article-title":"Changing pattern of cutaneous tuberculosis. A prospective study","volume":"2013","author":"Sehgal","year":"1989","journal-title":"Int J Dermatol"},{"key":"2025042708343252000_2013.jul10_1.bcr2013010294.7","doi-asserted-by":"crossref","first-page":"63","DOI":"10.4103\/0019-5154.92685","article-title":"A clinicopathological study of cutaneous tuberculosis at Dibrugarh district, Assam","volume":"2013","author":"Thakur","year":"2012","journal-title":"Indian J Dermatol"},{"key":"2025042708343252000_2013.jul10_1.bcr2013010294.8","doi-asserted-by":"crossref","first-page":"319","DOI":"10.2165\/00128071-200203050-00004","article-title":"Cutaneous tuberculosis: diagnosis and treatment","volume":"2013","author":"Barbagallo","year":"2002","journal-title":"Am J Clin Dermatol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2013-010294","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T15:34:38Z","timestamp":1745768078000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2013-010294"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,7,10]]},"references-count":8,"alternative-id":["10.1136\/bcr-2013-010294"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2013-010294","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2013,7,10]]}}}