11th July 2023

A 45-year-old patient with a known diagnosis of tuberculosis presented to clinic with a firm, painful lesion under his jawline

A 45-year-old patient with a known diagnosis of tuberculosis presented to clinic with a firm, painful lesion under his jawline. The lesion is noted to have an ulcerating granular base. Although ulcerating, the lesion appears to be painless.

What is the most likely diagnosis?

Select the SINGLE most appropriate option from the list below. Select ONE option only.