| Title | [Pulmonary tuberculosis presenting as tubercular lupus] | | Author(s) | Fays S, Martin S, Barbaud A, Schmutz JL | | Institution | Service de Dermatologie, Hôpital Fournier, Nancy. | | Source | Rev Mal Respir 2002 Sep; 19(4):519-21. | | MeSH | Adolescent
Antitubercular Agents
Biopsy
Drug Combinations
English Abstract
Female
Humans
Isoniazid
Lupus
Luxembourg
Philippines
Pyrazinamide
Rifampin
Sputum
Tomography, X-Ray Computed
Tuberculosis, Pulmonary
| | Abstract | Pulmonary tuberculosis can be associated with skin manifestations. We report a case in which cutaneous tuberculous lesions were associated with asymptomatic pulmonary tuberculosis. A 15-year old woman had four cutaneous tumoral lesions on her face back, a few of which had evolved over a period of several years. They were asymptomatic nodular lesions, with rounded bumps, with, in places, cheloidal features. The biopsy specimen revealed non-caseating epithelioid granulomas with giant cells and the culture grew Mycobacterium tuberculosis. Cavitating pulmonary tuberculosis was then revealed by CT scan and acid-fast bacilli were isolated in her sputum. The skin lesions disappeared with anti-tuberculosis therapy. Cutaneous manifestations of tuberculosis are rare, polymorphous, and can be associated with an underlying visceral infection. Lupus vulgaris is the most common cutaneous manifestation of tuberculosis in industrialised countries, but nevertheless it remains rare and it is a very unusual presenting feature of underlying pulmonary tuberculosis. | | Language | fre | | Pub Type(s) | Case Reports
Journal Article
| | PubMed ID | 12417868 |
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