Tuberculous lupus

Cutaneous tuberculosis accounts for 2% of all extrapulmonary tuberculosis and is one of the multiple clinical presentations of extrapulmonary tuberculosis. We report a case of cutaneous tuberculosis with unusual clinical and histological presentations. We report the case of a 29-year-old woman with...

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Bibliographic Details
Published in:Médecine et maladies infectieuses 2009-06, Vol.39 (6), p.409-412
Main Authors: El Fekih, N, Fazaa, B, Kerkeni, N, Sfia, M, Zeglaoui, F, Zermani, R, Bouacha, H, Kamoun, M R
Format: Article
Language:fre
Subjects:
Adult
Antitubercular Agents - therapeutic use
Female
Granuloma - microbiology
Granuloma - pathology
Humans
Necrosis
Skin - pathology
Skin Tests
Tuberculosis, Cutaneous - diagnosis
Tuberculosis, Cutaneous - drug therapy
Tuberculosis, Cutaneous - pathology
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Summary:Cutaneous tuberculosis accounts for 2% of all extrapulmonary tuberculosis and is one of the multiple clinical presentations of extrapulmonary tuberculosis. We report a case of cutaneous tuberculosis with unusual clinical and histological presentations. We report the case of a 29-year-old woman with plurifocal tuberculous lupus. Histological examination of cutaneous lesions revealed the presence of a granuloma with caseum necrosis. Chest X-ray showed a severe pulmonary tuberculosis lesion. The Mantoux test performed by intradermal injection was positive. Skin lesion PCR and sputum culture were negative. Both skin and pulmonary lesions responded to antituberculous treatment. Lupus vulgaris is commonly presents on the head and neck. The diagnosis may be difficult when lupus vulgaris occurs at unexpected sites or in unusual clinical presentations. Caseum necrosis observed in our patient was unusual.
ISSN:0399-077X
DOI:10.1016/j.medmal.2009.02.039