Perianal ulceration: a case of tuberculosis cutis orificialis.
BACKGROUND
Tuberculosis cutis orificialis is an extremely rare variant of cutaneous tuberculosis. Perianal location is a possible site of presentation.


METHODS
We describe the management of a young male with a painless non-specific perianal ulcer, who presented an asymptomatic disseminate pulmonary and intestinal tuberculosis. He had a history of pulmonary sarcoidosis and long-term corticosteroid therapy.


RESULTS
Healing of the ulcer was achieved after three-drug antituberculous therapy, with an improvement of the radiographic pulmonary alterations.


CONCLUSIONS
Tuberculous origin should be considered in persistent perianal ulcers to avoid delays in the treatment of this rare form of tuberculosis.
Leon-Mateos
A
A
Department of Dermatology, Clinical University Hospital, Faculty of Medicine, Santiago de Compostela, Spain. mejamie@usc.es
Sánchez-Aguilar
D
D
Lado
F
F
Toribio
J
J
D000328:Adult; D001004:Anus Diseases / Q000209:etiology*; D006801:Humans; D008297:Male; D014382:Tuberculosis, Cutaneous / Q000150:complications*; D014456:Ulcer / Q000209:etiology*