An atypical case of disseminated cutaneous tuberculosis in a young immunocompetent woman is presented. Salient recount of the natural history, clinical connotation, histopathological features, and the relevant laboratory details are described. The role of relative and absolute criteria is emphasized. In the event of inconclusive specific tests, the significance of histopathology and empirical antitubercular therapy as an adjunct diagnostic tool is highlighted.