Tuberculosis (TB) continues to be a leading cause of death in many countries, and also remains a significant concern in Germany, particularly due to migration. The diagnosis of rare cutaneous tuberculosis is challenging as it manifests in various clinical forms that resemble more common dermatological conditions. Especially in paucibacillary forms, gold-standard diagnostic tests may yield negative results, complicating the identification of the disease. Therefore, a strong clinical suspicion based on the clinical presentation is essential for guiding further or repeated diagnostic evaluations. In this article, we present various forms of cutaneous tuberculosis, using excerpts from the image collection of the Department of Dermatology and Allergy at Biederstein, Technical University of Munich, to improve clinical recognition of cutaneous TB and raise awareness of this condition also as a potential differential diagnosis.
