Jun 11, 2020 History by admin

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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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.

No lymphadenopathy or organomegaly was present. A biopsy was done which showed focal lichenoid tuberculoid granulomatous inflammation. Lichen scrofulosorum LS also known as tuberculosis TB cutis lichenoides, is a rare tuberculid that presents as a lichenoid eruption of minute papules in children and adolescents with TB.

Purchase access Subscribe to the journal. Priyanka SinghalPankil H. 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.

Lichen scrofulosorum

Views Read Edit View history. Tubercle bacilli are almost never seen in the histology specimen, neither can they be scrofulosoru. A oichen study of 39 patients. Get free access to newly published articles. New Sydenham Society; We report a case of lichen scrofulosorum in an adult male without any focus of tuberculosis. Correct diagnosis of LS is frequently delayed because of its rarity and clinical similarity to many other more common skin conditions.


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.

Lichen scrofulosorum: A diagnosis overlooked

Sign in to make a comment Sign in to your personal account. This page was last edited on 9 Julyat Actinomyces israelii Actinomycosis Cutaneous actinomycosis Tropheryma whipplei Whipple’s disease Arcanobacterium haemolyticum Arcanobacterium haemolyticum infection Actinomyces gerencseriae. Sign in to save your search Sign in to your personal account. Singhal A, Bhattacharya SN. Mycobacterium-related cutaneous conditions Infection-related cutaneous condition stubs.

Purchase access Subscribe now. Nil Conflict of Interest: Granuloma in the papillary dermis was impinging onto the epidermis, which showed mild spongiotic psoriasiform changes. From Wikipedia, the free encyclopedia. Sign in to download free article PDFs Sign in to access your subscriptions Sign in to your personal account. Create a free personal account to make a comment, download free article PDFs, sign up for alerts and more.

This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3. However, it should be considered in patients presenting with persistent papular lesions not responding to other therapies.

Sign in to customize your interests Sign in to your personal account. Retrieved from ” https: The eruption is usually associated with a strongly positive tuberculin reaction. Tuberculids are a group of skin conditions associated with an underlying or silent focus of TB.

Purchase access Subscribe to JN Learning for one year. X ray chest was done which was normal; USG abdomen was also insignificant; and Mantoux test was strongly positive [ Figure 4 ] with 18 mm induration, which pointed toward an active tubercular process.

Sign in to access your subscriptions Sign in to your personal account. This highlights its rarity and significance as an important marker of undetected tuberculosis. Lichen scrofulosorum, tuberculid, anti-tubercular therapy. Register for email alerts with links to free full-text articles Access PDFs of free articles Manage your interests Save searches and receive search alerts.


No tubercular foci could be detected on screening. Get free access to newly published articles Create a personal account or sign in to: This infection-related cutaneous condition article is a stub. Create a free personal account to download free article PDFs, sign up for alerts, customize your interests, and more. Pateland Yogesh S.

Diagnosis of these lesions can be difficult, as they resemble many other dermatological conditions that are often primarily considered. Privacy Policy Terms of Use. Tuberculoid leprosy Borderline tuberculoid leprosy Borderline leprosy Borderline lepromatous leprosy Lepromatous leprosy Histoid leprosy. 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.

Support Center Support Center. LS is a rare tuberculid, initially described by Scrofuposorum in A proper history and physical examination as well as diligent laboratory and diagnostic testing can determine the presence of occult tubercular focus; substantial morbidity can be prevented by very effective conventional ATT.

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Development of a polymerase chain reaction dot-blotting system for detecting cutaneous tuberculosis.