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1.
Dandale A , Gupta N , Dhurat R , Ghate S , 2013. Unusual presentation of lichen scrofulosorum. Indian J Dermatol Venereol Leprol 79: 436–438.
-
2.
Kumar U , Sethuraman G , Verma P , Das P , Sharma VK , 2011. Psoriasiform type of lichen scrofulosorum: clue to disseminated tuberculosis. Pediatr Dermatol 28: 532–534.
-
3.
Kondo M , Iwata Y , Numata S , Saito K , Watanabe S , Kobayashi T , Nagai A , Iwata T , Arima M , Sugiura K , 2018. Case of lichenoid-lichen scrofulosorum: a rare variety of lichen scrofulosorum mimicking lichen planus in an elderly patient. J Dermatol 45: e148–e149.
-
4.
Otto AI , Harsing J , Herjavecz I , Kiss M , Karpati S , 2009. Scrofuloderma associated with granuloma annulare-like lichen scrofulosorum. Acta Dermatol Venereol 89: 640–642.
-
5.
Pandhi D , Singal A , Wadhwa N , 2016. Lichen scrofulosorum: yet another disease manifesting the Koebner phenomenon? Int J Dermatol 55: 809–810.
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6.
Bishnoi A , De D , Handa S , Mahajan R , Chatterjee D , Saikia UN , 2018. Bulla formation at the tuberculin skin test site in a patient with bullous pemphigoid: koebnerization or severe delayed-type hypersensitivity? Indian J Dermatol Venereol Leprol 84: 227–229.
-
7.
Xu H , Li YM , Ma H , Gu WT , Chen ZQ , 2017. Mycobacterium tuberculosis found at both skin lesions and Mantoux testing site in a patient with erythema induratum of Bazin. J Dermatol 44: 1145–1147.
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8.
Chhabra G , Verma P , Sharma S , 2020. Koebner phenomenon induced by Mantoux testing in a case of papulonecrotic tuberculid. Trop Doct 50: 74–77.
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9.
Singal A , Bhattacharya SN , 2005. Lichen scrofulosorum: a prospective study of 39 patients. Int J Dermatol 44: 489–493.
-
10.
Camacho D , Pielasinski U , Revelles JM , Gorgolas M , Manzarbeitia F , Kutzner H , Requena L , 2011. Lichen scrofulosorum mimicking lichen planus. Am J Dermatopathol 33: 186–191.
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11.
Gandhare A , Mahashur A , 2017. Tuberculosis of the lymph nodes: many facets, many hues. Astrocyte 4: 80–86.
-
12.
Ramam M , Tejasvi T , Manchanda Y , Sharma S , Mittal R , 2007. What is the appropriate duration of a therapeutic trial in cutaneous tuberculosis? Further observations. Indian J Dermatol Venereol Leprol 73: 243–246.
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Case Report: A Case of Tuberculosis with Psoriasiform Lichen Scrofulosorum Exhibiting Koebner’s Phenomenon followed by Scrofuloderma
Ishika Muradia
Ishika Muradia
Department of Dermatology and Sexually Transmitted Diseases, Vardhman Mahavir Medical College and Safdarjung Hospital, Delhi, India;
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Geeti Khullar
Geeti Khullar
Department of Dermatology and Sexually Transmitted Diseases, Vardhman Mahavir Medical College and Safdarjung Hospital, Delhi, India;
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Shruti Sharma
Shruti Sharma
National Institute of Pathology (Indian Council of Medical Research), Safdarjung Hospital Campus, Delhi, India;
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Sachin Kolte
Sachin Kolte
Department of Pathology, Vardhman Mahavir Medical College and Safdarjung Hospital, Delhi, India
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ABSTRACT.
Lichen scrofulosorum is the most common tuberculid in the Indian population and the second most common form of cutaneous tuberculosis. We discuss an uncommon presentation of lichen scrofulosorum, with psoriasiform morphology and koebnerization at tuberculin test site, associated with cervical lymphadenitis in a 17-year-old girl. Although the cutaneous lesions resolved completely after 3 months of antitubercular treatment (ATT), she developed scrofuloderma in the left cervical region at 4 months. In the absence of rifampicin resistance, ATT was continued for another 6 months, with no further evidence of disease activity. This case represents an infrequent occurrence of lichen scrofulosorum followed by scrofuloderma, which necessitated a prolonged course of first-line ATT.
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Author Notes
Authors’ addresses: Ishika Muradia and Geeti Khullar, Department of Dermatology and Sexually Transmitted Diseases, Vardhman Mahavir Medical College and Safdarjung Hospital, Delhi, India, E-mails: ishikathedermatologist.13@gmail.com and geetikhullar@yahoo.com. Shruti Sharma, National Institute of Pathology Indian Council of Medical Research, Safdarjung Hospital Campus, Delhi, India, E-mail: shrutigautam@rediffmail.com. Sachin Kolte, Department of Pathology, Vardhman Mahavir Medical College and Safdarjung Hospital, Delhi, India, E-mail: drsachinkolte@gmail.com.
ProCite
RefWorks
Reference Manager
BibTeX
Zotero
EndNote
-
1.
Dandale A , Gupta N , Dhurat R , Ghate S , 2013. Unusual presentation of lichen scrofulosorum. Indian J Dermatol Venereol Leprol 79: 436–438.
-
2.
Kumar U , Sethuraman G , Verma P , Das P , Sharma VK , 2011. Psoriasiform type of lichen scrofulosorum: clue to disseminated tuberculosis. Pediatr Dermatol 28: 532–534.
-
3.
Kondo M , Iwata Y , Numata S , Saito K , Watanabe S , Kobayashi T , Nagai A , Iwata T , Arima M , Sugiura K , 2018. Case of lichenoid-lichen scrofulosorum: a rare variety of lichen scrofulosorum mimicking lichen planus in an elderly patient. J Dermatol 45: e148–e149.
-
4.
Otto AI , Harsing J , Herjavecz I , Kiss M , Karpati S , 2009. Scrofuloderma associated with granuloma annulare-like lichen scrofulosorum. Acta Dermatol Venereol 89: 640–642.
-
5.
Pandhi D , Singal A , Wadhwa N , 2016. Lichen scrofulosorum: yet another disease manifesting the Koebner phenomenon? Int J Dermatol 55: 809–810.
-
6.
Bishnoi A , De D , Handa S , Mahajan R , Chatterjee D , Saikia UN , 2018. Bulla formation at the tuberculin skin test site in a patient with bullous pemphigoid: koebnerization or severe delayed-type hypersensitivity? Indian J Dermatol Venereol Leprol 84: 227–229.
-
7.
Xu H , Li YM , Ma H , Gu WT , Chen ZQ , 2017. Mycobacterium tuberculosis found at both skin lesions and Mantoux testing site in a patient with erythema induratum of Bazin. J Dermatol 44: 1145–1147.
-
8.
Chhabra G , Verma P , Sharma S , 2020. Koebner phenomenon induced by Mantoux testing in a case of papulonecrotic tuberculid. Trop Doct 50: 74–77.
-
9.
Singal A , Bhattacharya SN , 2005. Lichen scrofulosorum: a prospective study of 39 patients. Int J Dermatol 44: 489–493.
-
10.
Camacho D , Pielasinski U , Revelles JM , Gorgolas M , Manzarbeitia F , Kutzner H , Requena L , 2011. Lichen scrofulosorum mimicking lichen planus. Am J Dermatopathol 33: 186–191.
-
11.
Gandhare A , Mahashur A , 2017. Tuberculosis of the lymph nodes: many facets, many hues. Astrocyte 4: 80–86.
-
12.
Ramam M , Tejasvi T , Manchanda Y , Sharma S , Mittal R , 2007. What is the appropriate duration of a therapeutic trial in cutaneous tuberculosis? Further observations. Indian J Dermatol Venereol Leprol 73: 243–246.
| Past two years | Past Year | Past 30 Days | |
|---|---|---|---|
| Abstract Views | 844 | 267 | 16 |
| Full Text Views | 220 | 74 | 9 |
| PDF Downloads | 152 | 33 | 1 |