A Case of Tuberculous Lymphadenitis accompanying Papulonecrotic Tuberculid.
10.4046/trd.2007.62.6.536
- Author:
Tae Young HAN
1
;
Ji Young KIM
;
Hee Won KWAK
;
Jae Chul CHOI
;
Jong Wook SHIN
;
Jae Yeol KIM
;
In Won PARK
;
Meyung Nam KIM
;
Byoung Whui CHOI
Author Information
1. Department of Internal Medicine, College of Medicine, Chung-Ang University, Seoul, Korea. basthma@hanmail.net, basthma@cau.ac.kr
- Publication Type:Case Report
- Keywords:
Papulonecrotic tuberculid;
Tuberculous lymphadenitis
- MeSH:
Adult;
Arm;
Cicatrix;
Dermis;
Diagnosis;
Female;
Fingers;
Humans;
Hypersensitivity;
Leg;
Lymph Nodes;
Lymphadenitis;
Necrosis;
Skin;
Tuberculosis, Cutaneous*;
Tuberculosis, Lymph Node*;
Vasculitis
- From:Tuberculosis and Respiratory Diseases
2007;62(6):536-539
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Lymphadenitis is a common manifestation in tuberculous diseases. However, papulonecrotic tuberculid is an uncommon cutaneous manifestation, and is considered an allergic reaction against tuberculous bacilli in tuberculous lesions other than the lymph nodes. A wide great variety of cutaneous manifestations arise over a period of a few weeks - i.e., papules, necrosis, crusted and atrophic scars. We described a 27-year-old woman with right cervical tuberculous lymphadenitis and skin lesions involving her arms, legs and both fingers. Histopathologically, a leukocytoclastic vasculitis with V-shaped epidermal necrosis was observed in the upper and deep dermis, including the good response to anti-tuberculosis therapy support the diagnosis of papulonecrotic tuberculid.
