title: Cutaneous tuberculous gummas in a patient with polymyositis.
abstract: Metastatic tuberculous abscesses or cutaneous tuberculous gummas occur mostly by reactivation of ancient cutaneous foci and is triggered mainly by pharmacological immunosuppression, diabetes mellitus, alcoholism or acquired immunodeficiency syndrome. The present case report refers to a 33-year-old male patient with polymyositis and a previous diagnosis of treated pulmonary tuberculosis. He presented cutaneous abscesses and fever months after the tuberculosis regimen. The patient was diagnosed as metastatic tuberculous abscesses associated with immunosuppression as result of polymyositis treatment.
authors.affiliation: Teaching Hospital, Federal University of Rio de Janeiro (Hospital Universitário Gaffrée e Guinle. Universidade Federal do Estado do Rio de Janeiro - HUGG-UNIRIO), Rio de Janeiro, RJ, Brazil.
authors.forename: Guilherme Almeida Rosa da
authors.initials: GA
authors.lastname: Silva
authors.forename: Rogério Neves
authors.initials: RN
authors.lastname: Motta
authors.forename: Ricardo de Souza
authors.initials: Rde S
authors.lastname: Carvalho
authors.forename: Omar
authors.initials: O
authors.lastname: Lupi
authors.forename: Marcelo Costa Velho Mendes de
authors.initials: MC
authors.lastname: Azevedo
authors.forename: Fernando Raphael de Almeida
authors.initials: FR
authors.lastname: Ferry
mesh_terms: D000038:Abscess / Q000473:pathology*; D000328:Adult; D003937:Diagnosis, Differential; D006801:Humans; D007166:Immunosuppressive Agents / Q000009:adverse effects*; D008297:Male; D009169:Mycobacterium tuberculosis / Q000254:growth & development; D017285:Polymyositis / Q000188:drug therapy*; D014382:Tuberculosis, Cutaneous / Q000139:chemically induced / Q000473:pathology*
chemical_list: D007166:Immunosuppressive Agents
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