LICHEN SCROFULOSORUM PDF

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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It is imperative that dermatologists have a high index of suspicion in order to quickly diagnose and treat this condition. However, it should be considered in patients presenting with persistent papular lesions not responding to other therapies. However, rarely antigen of mycobacterial TB has been demonstrated in papulonecrotic tuberculid, another type of more frequently seen tuberculid.

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Lichen scrofulosorum: A diagnosis overlooked

This article has been cited by other articles in PMC. 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. 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.

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Lichen scrofulosorum

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He had no past or family history of TB. He responded promptly to antitubercular therapy with complete clearance of lesions in one month. No tubercular foci could be detected on screening. Sign in to save your search Sign in to your personal account.

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Scrofulosourm ten year retrospective study. Views Read Edit View history. The eruption is usually associated with a strongly positive tuberculin reaction. Create a free personal account to access your subscriptions, sign up for alerts, and more.

Lichen scrofulosorum – Wikipedia

Cutaneous nerves were spared. Mycobacterium-related cutaneous conditions Infection-related cutaneous condition stubs. Nil Conflict of Interest: Patient was started on CAT I antitubercular therapy ATT with four drugs rifampicin, isoniazid, ethambutol and pyrazinamide for the first two months, followed by rifampicin and isoniazid for six months. There was no history of fever, cough, anorexia, weight loss, or any other systemic symptoms. The differential diagnosis may include lichen spinulosus, lichen nitidus, keratosis pilaris, pityriasis rubra pilaris, and lichenoid sarcoidosis.

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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. The lesions are usually asymptomatic, closely grouped, skin-colored to reddish-brown papulesoften perifollicular and are mainly found on the abdomen, chest, back, and proximal parts of the limbs. This infection-related cutaneous condition article is a stub. Our website uses cookies to enhance your experience.

Lichen licehn, tuberculid, anti-tubercular therapy. Get free access to newly published articles. Actinomyces israelii Actinomycosis Cutaneous actinomycosis Tropheryma whipplei Whipple’s disease Arcanobacterium haemolyticum Scroculosorum haemolyticum infection Actinomyces gerencseriae.

The lesions are usually asymptomatic, closely grouped, skin-colored to reddish-brown papules, often perifollicular, and are mainly found on the abdomen, chest, back, and proximal parts of the limbs. Sign in to make a comment Sign in to your personal account.