 Cutaneous tuberculosis, CTB, is a rare but potentially fatal condition caused by mycobacterium tuberculosis. It can be difficult to distinguish from other skin conditions due to its atypical presentation. Therefore, it is important to take a holistic approach to diagnosing CTB, which includes clinical examination and laboratory tests such as microbial culture, histopathology, and molecular testing. This case highlights the importance of considering CTB when encountering patients with atypical skin lesions in resource-limited settings like Sudan. This article was authored by Aiman Ahmed, Amel Ahmed Hargulna, Hala Fathi El-Tighani, and others.