title: [Fagedenic ulcer as appearance of cutaneous disseminate tuberculosis].
abstract: A case about a male patient 31 years with a history of non-healing suppurative lesion on his left index finger that finally required amputation is reported. A year later he developed two ulcers, one of them on the abdominal wall had been present for almost one year reaching a big size (18±6.5 cm); the second one was smaller and located on the left proximal arm. Histopathology study showed non-caseating granulomas with positive stain for acid-fast bacillus, and a PCR test was positive for Mycobacterium tuberculosis. Patient was treated with combined treatment against tuberculosis during a year, achieving complete healing. The most outstanding feature of this case report is the clinical expression with an uncommon huge ulcer.
authors.affiliation: Servicio de Dermatología y Micología Médica, Hospital de Especialidades, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Distrito Federal, Mexico. liserja@hotmail.com
authors.forename: Liliana
authors.initials: L
authors.lastname: Serrano-Jaén
authors.forename: Alfredo
authors.initials: A
authors.lastname: Arévalo-López
authors.forename: Luis Javier
authors.initials: LJ
authors.lastname: Méndez-Tovar
mesh_terms: D000328:Adult; D006801:Humans; D008297:Male; D012883:Skin Ulcer / Q000382:microbiology* / Q000473:pathology*; D014382:Tuberculosis, Cutaneous / Q000473:pathology*