A Case of Scrofuloderma with Cervical Lymphadenitis.
- Author:
Eun Ah CHO
1
;
Si Yong KIM
Author Information
1. Department of Dermatology, College of Medicine, The Catholic University of Korea, Seoul, Korea. dervint@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Cervical lymphadenitis;
Scrofuloderma
- MeSH:
Adult;
Biopsy;
Dermis;
Epididymis;
Epithelioid Cells;
Giant Cells;
Humans;
Joints;
Lymph Nodes;
Lymphadenitis*;
Male;
Neck;
Necrosis;
Skin;
Tuberculosis;
Tuberculosis, Cutaneous*
- From:Korean Journal of Dermatology
2007;45(3):279-282
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Scrofuloderma results from contiguous extension of an underlying tuberculous focus secondary to local tissue breakdown. The underlying focus may be a tuberculous bone or joint or even epididymis, but it occurs most commonly over a lymph node, particularly the cervical lymph node. A 29-year-old man presented with a tender, erythematous, linear, fluctuating plaque and nodules on the right side of his neck. He had pulmonary and intestinal tuberculosis. A biopsy specimen from the skin lesion showed caseation necrosis surrounded by granulomatous infiltration, composed of epithelioid cells, mononuclear cells and Langhans' giant cells in the dermis. Acid-fast bacilli were identified on AFB staining. Herein, we report a typical case of scrofuloderma associated with cervical lymphadenitis.
