Diagnosis is by physical examination and biopsy of the lesion. Other lab investigations like complete blood count, ESR,ASO titer, urinalysis, throat culture, intradermal tuberculin test, and chest x-ray may also be done. It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.