A 3 year-old female patient was examined because of thumb-tip sized erythematous, verrucose, granulomatous mass on the nose, and coin to hen egg sized well demarked annular plaques with central atrophy and peripheral scaling, appeared on the left deltoid and clavicular area. The skin lesions showed so-called apple jelly color on diascopic examinatian. Biopsy from the lesions of nose and the left deltoid area revealed typical pictures of lupus vulgaris. Chest PA and flat abdomen revealed irregular bony destruction with reactive sclerosis involving left clavicle, 6th, 7th and 9th ribs and right 7th rib, and both iliac bones along the sacroiliac joint, and also noted unusual prominence of right paratracheal shadow. The patient was treated with isoniazid, ethambutol, rifampicin, and now is under our our observation