A 63-year-old Indian woman was diagnosed as a case of pulmonary TB when she was evaluated for fever and cough with expectoration. She was started on the first-line antitubercular drugs as per Directly Observed Treatment Short Course regimen for TB. After 8 weeks of ATT, she reported to dermatology department of our hospital, for complaints of acute onset erythema along with severe itching all over the body for the last 7–10 days. Dermatological examination It revealed the generalized involvement of the body with extensive nonuniform dusky erythematous scaly plaques involving the scalp, face, nape of the neck, trunk, arms, legs, palms, and soles.

Erythema and scaling were more pronounced over trunk and legs. Furthermore, the pruritic plaques were first noted on trunk and legs which increased in size and coalesced to involve the entire body in a few days. Scalp lesions formed red-yellow…