Case 1 was an 80-year-old female referred for evaluation of painful oral ulcers. Medical history included fever and cough for the last 2 months, and tuberculosis confirmed by culture of Mycobacterium tuberculosis, with discontinued treatment with rifampicin and isoniazid. Physical examination revealed multiple cutaneous erosive, and erythematous papules with crust formation on the face, an irregular large ulcer on the left breast, an erythematous plaque with yellowish papules on the right arm and necrotic ulcers with crusts on her 3rd left toe. Intra-oral examination revealed multiple ulcers and erythematous plaques in the hard and soft palates, as well as on the dorsum and lateral surfaces of the tongue (Fig. 1). The patient also reported dysphagia, dysphonia, and chronic nasal obstruction, and of note, the death of her cat few months earlier, presenting lesions on the skin.