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  • Case Report   
  • Epidemiology (Sunnyvale) 2017, Vol 7(4): 316

Lichen Scrofulosorum in a Patient with Tuberculous Cervical Lymphadenopathy: A case report

Kostopoulos N1, Tzanetakou V1*, Platsidaki E1, Theologi V2, Christofidou E2 and Befon A1
1Dermatology Department, Andreas Sygros Hospital for Skin and Venereal diseases of Athens, , Greece
2Pathology Department, Andreas Sygros Hospital for Skin and Venereal diseases of Athens, , Greece
*Corresponding Author : Tzanetakou V, Dermatology Department, Andreas Sygros Hospital for Skin and Venereal diseases of Athens, Greece, Tel: 00302105831985, Email: tzanetakoub@hotmail.com

Received Date: Jul 19, 2017 / Accepted Date: Jul 31, 2017 / Published Date: Aug 10, 2017

Abstract

Introduction: Cutaneous tuberculosis (CTB) is a rare presentation of extrapulmonary tuberculosis (TB) with various clinical manifestations. Tuberculids, a type of CTB, are probably the result of hyperergic immune reaction induced by Mycobacterium tuberculosis. Lichen scrofulosorum (LS) is a rare tuberculid mostly seen in children and young adults with or without other manifestations of tuberculosis.

Case report: We present a 30 year old patient presented with a papular eruption on his trunk and upper extremities. The patient had recently started on a 4 drug-regimen treatment for a diagnosed tuberculous cervical lymphadenitis and he was under investigation for pulmonary TB. Histopathology of the papular lesions showed epithelioid granulomas strongly indicating lichen scrofulosorum. The eruption responded to antitubercular therapy with complete clearance of the lesions.

Discussion: The tuberculids are a form of CTB caused by hypersensitivity reactions to Mycobacterium tuberculosis. The diagnosis of LS is problematic and frequently delayed because of its rarity and clinical similarity to many other more common skin conditions.

Citation: Kostopoulos N, Tzanetakou V, Platsidaki E, Theologi V, Christofidou E, et. al (2017) Lichen Scrofulosorum in a Patient with Tuberculous Cervical Lymphadenopathy: A case report. Epidemiology (Sunnyvale) 7:316.

Copyright: © 2017 Kostopoulos N, et.al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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