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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He responded promptly to antitubercular therapy with complete clearance of lesions in one month.

CASE REPORT We report a case of year-old male who presented to us with multiple small erythematous to skin-colored, mostly perifollicular papules over forearms [ Figure 1 ], dorsum of hands [ Figure 2 ], shoulders, forehead [ Figure 3 ] and scapular region since 15 days.

Examination of hair, nails and mucosal surfaces was normal. Actinomyces israelii Actinomycosis Cutaneous actinomycosis Tropheryma whipplei Whipple’s disease Arcanobacterium haemolyticum Arcanobacterium haemolyticum infection Actinomyces gerencseriae. Purchase access Subscribe now. The lesions were mildly itchy.

Retrieved from ” https: Acrofulosorum of the skin. Actinomycetaceae Actinomyces israelii Actinomycosis Cutaneous actinomycosis Tropheryma whipplei Whipple’s disease Arcanobacterium haemolyticum Arcanobacterium haemolyticum infection Actinomyces gerencseriae.

This page was last edited on 9 Julyat 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.

Indian Dermatol Online J. From Wikipedia, the free encyclopedia.

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Create a free personal account to download free article PDFs, sign up for alerts, and more. X ray chest was done which was normal; USG abdomen was also insignificant; and Mantoux test was strongly positive scrofulosorim Figure 4 ] with 18 mm licyen, which pointed toward an active tubercular process.

The eruption is usually associated with a strongly positive tuberculin reaction. Pateland Yogesh S. The mother first noticed the lesions on the. Granuloma in the papillary dermis was impinging onto the epidermis, which showed mild spongiotic psoriasiform changes.

Sign in to save your search Sign in to your personal account. This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3. Conditions in this group include: We report a case of scrkfulosorum scrofulosorum in an adult male without any focus of tuberculosis. Systemic examination of the respiratory, cardiovascular, abdominal and central nervous systems did not reveal any abnormalities.

Lichen scrofulosorum

Tuberculids are a group of skin conditions associated with an underlying or silent focus of TB. 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.

According pichen Lewandowsky, 3 it is the best example of a tuberculid. Create a free personal account scrofuloeorum access your subscriptions, sign up for alerts, and more.

In his clinical description he classified the disease under the exanthems, since lichen scrofulosorum is an eruption of small papules usually present over the trunk, back and abdomen. Correct diagnosis of LS is frequently delayed because of its rarity and clinical similarity to many other more common skin conditions.


Kaposi 2 was the first to describe lichen scrofulosorum histologically. Priyanka SinghalPankil H. Support Center Support Center. Create a personal account to register for email alerts with links to free full-text articles.

Lichen scrofulosorum: A diagnosis overlooked

Nil Conflict of Interest: Diagnosis of these lesions can be difficult, as they resemble many other dermatological conditions that are often primarily considered.

Create a free personal account to download free article PDFs, sign scrofulsoorum for alerts, customize your interests, and more. Tubercle bacilli are almost never seen in the histology specimen, neither can they be cultured.

This highlights its rarity and significance as an important marker of undetected tuberculosis. Mycobacterium-related cutaneous conditions Infection-related cutaneous condition stubs. Corynebacterium diphtheriae Diphtheria Corynebacterium minutissimum Erythrasma Corynebacterium jeikeium Group JK corynebacterium sepsis.

Lichen scrofulosorum: A diagnosis overlooked

The lesions are usually asymptomatic, closely grouped, skin-colored to reddish-brown papulesoften perifollicular and are mainly found on the abdomen, chest, back, and proximal parts of the limbs. No tubercular foci could be detected on screening. Please review our privacy policy. Scrofulosirum scrofulosorum was first recognized and described by Hebra 1 in Tuberculoid leprosy Borderline tuberculoid leprosy Borderline leprosy Borderline lepromatous leprosy Lepromatous leprosy Histoid leprosy.

Views Read Edit View history. Lichen scrofulosorum, tuberculid, scrofuoosorum therapy. No lymphadenopathy or organomegaly was present. Author information Copyright and License information Disclaimer. Purchase access Subscribe to the journal.