title: Rapidly developing giant sized lupus vulgaris on the chest associated with bilateral scrofuloderma on the neck.
abstract: Lupus vulgaris and scrofuloderma are the opposite poles of cutaneous tuberculosis. Lupus vulgaris of a giant size and scrofuloderma in the vicinity of this lesion were both present in a 70-year-old female patient. The purified protein derivative of tuberculin (PPD) skin test was strongly positive. In histopathological examination, granulomatous infiltration without caseation necrosis was seen in the dermis. The patient was treated with a four-drug therapy consisting of pyrazinamide (25 mg/kg), isoniazid (5 mg/kg), rifampin (10 mg/kg) and ethambutol (15 mg/kg) daily for 2 months, followed by dual therapy with isoniazid and rifampin for 6 months. Her cutaneous lesions significantly regressed after 4 months, leaving keloid scars.
authors.affiliation: Department of Dermatology, Numune State Hospital, Turkey.
authors.forename: Cihangir
authors.initials: C
authors.lastname: Aliağaoğlu
authors.forename: Mustafa
authors.initials: M
authors.lastname: Atasoy
authors.forename: Ali
authors.initials: A
authors.lastname: Karakuzu
authors.forename: Kerim
authors.initials: K
authors.lastname: Cayir
authors.forename: Mehmet
authors.initials: M
authors.lastname: Melikoğlu
mesh_terms: D000368:Aged; D000995:Antitubercular Agents / Q000627:therapeutic use; D005260:Female; D006801:Humans; D008177:Lupus Vulgaris / Q000150:complications / Q000188:drug therapy / Q000473:pathology*; D014382:Tuberculosis, Cutaneous / Q000150:complications / Q000188:drug therapy / Q000473:pathology*
chemical_list: D000995:Antitubercular Agents