Two Cases of Scrofuloderma.
- Author:
Seong Wook CHOE
1
;
Seong Jun SEO
;
Myeung Nam KIM
;
Chang Kwun HONG
;
Byung In RO
;
Kye Young SONG
Author Information
1. Department of Dermatology, College of Medicine, Chung-Ang University. Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Scrofuloderma;
Tuberculous osteomyelitis;
Pulmonary tuberculosis;
Tuberculous spondylitis
- MeSH:
Aged;
Biopsy;
Elbow;
Exudates and Transudates;
Giant Cells;
Hand;
Humans;
Joints;
Lymph Nodes;
Lymphocytes;
Middle Aged;
Necrosis;
Osteomyelitis;
Skin;
Spondylitis;
Thorax;
Tuberculosis;
Tuberculosis, Cutaneous*;
Tuberculosis, Pulmonary;
Ulcer;
Weights and Measures
- From:Korean Journal of Dermatology
2003;41(11):1503-1507
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Scrofuloderma results from a direct extension of an underlying tuberculosis focus such as the lymph node, bone or joint to the underlying skin, and is often associated with pulmonary tuberculosis. One 72-year-old man presented with erythematous swollen patch with scales on the left hand and erythematous swollen patch on the left elbow. He had tuberculous osteomyelitis of left elbow. And another patient who is a 59-year-old man presented with hemorrhagic, purulent ulcers with crust and exudate on the left and right chest. Each size of ulcers are 6.0x5.0cm and 5.0x5.0cm. He had reactive pulmonary tuberculosis and tuberculous spondylitis. Biopsy specimens from the skin showed lymphocytes, epitheloid cells, and Langerhan's giant cells with caseation necrosis. Acid-fast bacilli were identified on AFB staining. We report two unusual cases of scrofuloderma associated with tuberculous osteomyelitis and pulmonary tuberculosis respectively.
