Psoriasiform type of lichen scrofulosorum: clue to disseminated tuberculosis.
We present a 16-year-old girl with tuberculosis of the lungs, lymph nodes, and liver, who had extensive inflammatory lesions with pustules, which resembled psoriasis. A skin biopsy showed extensive tuberculoid granulomas surrounding hair follicles, consistent with lichen scrofulosorum. Antitubercular therapy led to resolution of skin lesions. This severe inflammatory type of lichen scrofulosorum is extremely rare.
Department of Dermatology & Venereology, All India Institute of Medical Sciences, New Delhi, India.
Uttam
U
Kumar
Gomathy
G
Sethuraman
Parul
P
Verma
Prasanjit
P
Das
Vinod K
VK
Sharma
D000293:Adolescent; D000995:Antitubercular Agents / Q000627:therapeutic use; D001706:Biopsy; D005260:Female; D006801:Humans; D017512:Lichenoid Eruptions / Q000188:drug therapy / Q000382:microbiology* / Q000473:pathology*; D011565:Psoriasis / Q000188:drug therapy / Q000382:microbiology* / Q000473:pathology*; D012720:Severity of Illness Index; D013183:Sputum / Q000382:microbiology; D014382:Tuberculosis, Cutaneous / Q000150:complications* / Q000188:drug therapy / Q000473:pathology*; D014386:Tuberculosis, Hepatic / Q000150:complications / Q000188:drug therapy; D014388:Tuberculosis, Lymph Node / Q000150:complications / Q000188:drug therapy; D014397:Tuberculosis, Pulmonary / Q000150:complications / Q000188:drug therapy
D000995:Antitubercular Agents