Unfamiliar happening of dermal tuberculosis over tattoo mark

Even though tuberculosis is a global epidemic with increasing prevalence, the number of dermal tuberculosis encountered in outpatient department is comparatively few. It can manifest itself due to endogenous or exogenous factors and present to us in variety of forms. Even if diagnosis is made confirmation is relatively difficult though advances in investigation techniques. Lupus vulgaris a type of skin tuberculosis a very rare phenomenon. Here we report a 23yr old engineer presenting with fungating growth atop tattoo mark, done few months back at a fair. Diagnosis was confirmed microbiologically as well as histopathology. Patient was started on anti-tubercular drugs following which his lesions subsided.