Simultaneous scrofuloderma and intracranial tuberculomas: a rare presentation of systemic tuberculosis.
Tuberculosis can involve multiple organ systems concurrently. We report a case of simultaneous brain tuberculomas and scrofuloderma occurring in the same patient. Skin biopsies confirmed scrofuloderma and the patient was successfully treated for tuberculosis with resolution of the brain masses. This case illustrates the importance of dermatological manifestations of systemic disease as an accessible source for diagnosis and guidance in appropriate therapy.
Wong
Kenneth Kien Siang
KK
Department of Dermatology, Greenlane Clinical Centre, Auckland, New Zealand. kwon079@gmail.com
Oliver
Guy Fergus
GF
D000995:Antitubercular Agents / Q000627:therapeutic use; D001372:Aza Compounds / Q000627:therapeutic use; D001921:Brain / Q000473:pathology; D003937:Diagnosis, Differential; D004359:Drug Therapy, Combination; D024841:Fluoroquinolones; D006801:Humans; D007538:Isoniazid / Q000627:therapeutic use; D017512:Lichenoid Eruptions / Q000139:chemically induced; D008297:Male; D008875:Middle Aged; D000077266:Moxifloxacin; D011718:Pyrazinamide / Q000627:therapeutic use; D011804:Quinolines / Q000627:therapeutic use; D012293:Rifampin / Q000009:adverse effects / Q000627:therapeutic use; D016896:Treatment Outcome; D016862:Tuberculoma, Intracranial / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D014382:Tuberculosis, Cutaneous / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology
D000995:Antitubercular Agents; D001372:Aza Compounds; D024841:Fluoroquinolones; D011804:Quinolines; D011718:Pyrazinamide; D000077266:Moxifloxacin; D007538:Isoniazid; D012293:Rifampin