Lichen Scrofulosorum. A 9-year-old boy presented with asymptomatic, skin colored, grouped papules with mild scaling on elbows, buttocks, knees, and dorsa of. Lichen scrofulosorum is a tuberculid that is usually seen in children or young adults. Although a rare occurrence, this tuberculid is an important marker of occult. In lichen scrofulosorum there is a superficial inflammatory reaction about hair follicles and sweat ducts which may include tuberculoid granulomas. Acid-fast.
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Development of a polymerase chain reaction dot-blotting system for detecting cutaneous tuberculosis. Sign in to save your search Sign in to your personal scfofulosorum. Lichen scrofulosorum also known as “Tuberculosis cutis lichenoides” is a rare tuberculid that presents as a lichenoid eruption of minute papules in children and adolescents with tuberculosis. However, rarely antigen of mycobacterial TB has been demonstrated in papulonecrotic tuberculid, another type of more frequently seen tuberculid.
Lichen scrofulosorum was first recognized and described by Hebra 1 in Priyanka SinghalPankil H.
This highlights its rarity and significance as an important marker scrofulosoru undetected tuberculosis. The eruption is usually associated with a strongly positive tuberculin reaction. Lichen scrofulosorum is a tuberculous entity consisting of small areas of lupus caused by tuberculous infiltrate, and is partly differentiated from lupus by the small dimension of the lesion.
It is imperative that dermatologists have a licuen index of suspicion in order to quickly diagnose and treat this condition.
Indian Dermatol Online J.
Lichen scrofulosorum – Wikipedia
CASE REPORT We report a case of year-old male who presented to us with multiple small erythematous to skin-colored, mostly perifollicular papules over forearms [ Figure 1 ], dorsum of hands [ Figure 2 ], shoulders, forehead [ Figure 3 ] and scapular region since 15 days. Corynebacterium diphtheriae Diphtheria Corynebacterium minutissimum Erythrasma Corynebacterium jeikeium Group JK corynebacterium sepsis.
In his clinical description he classified the disease under the exanthems, since lichen scrofulosorum is an eruption of small papules usually present over the trunk, back and abdomen. Create a free personal account to download free article PDFs, sign up for alerts, customize your interests, and more.
Lichen scrofulosorum, tuberculid, anti-tubercular therapy. We report a case of year-old male who presented to us with multiple small erythematous to skin-colored, mostly perifollicular papules over forearms [ Figure 1 ], dorsum of hands [ Figure 2 ], shoulders, forehead [ Figure 3 ] and scapular region since 15 days. Cutaneous nerves were spared. Create a free personal account to access your subscriptions, sign up for alerts, and more.
He responded promptly to antitubercular therapy with complete clearance of lesions in one month. Systemic examination of the respiratory, cardiovascular, abdominal and central nervous systems did not reveal any abnormalities.
He had no past or family history of TB. Sign in to make a comment Sign in to your personal account. The lesions were mildly itchy.
A biopsy was done which showed focal lichenoid tuberculoid granulomatous inflammation. The eruption is usually associated with a strongly positive tuberculin reaction. Scrofulosoruum access Subscribe now. Initially, the patient was treated as a case of miliaria and given calamine lotion; however, when there was no improvement after 1 week, other differentials like LS, keratosis pilaris, lichen spinulosis, lichen nitidus, and secondary syphilis were considered.
Diagnosis of these lesions can be difficult, as they resemble many other dermatological licheh that are often primarily considered.