Lichen Scrofulosorum. A 9-year-old boy presented with asymptomatic, skin colored, grouped papules with mild scaling on elbows, buttocks, knees, and dorsa of. Lichen scrofulosorum is a tuberculid that is usually seen in children or young adults. Although a rare occurrence, this tuberculid is an important marker of occult. In lichen scrofulosorum there is a superficial inflammatory reaction about hair follicles and sweat ducts which may include tuberculoid granulomas. Acid-fast.

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Lichen scrofulosorum was first recognized and described by Hebra 1 in Mycobacterium-related cutaneous conditions Infection-related cutaneous condition stubs. Granuloma in the papillary dermis was impinging onto the epidermis, which showed mild spongiotic psoriasiform changes. Tubercle bacilli are almost lcihen seen in the histology specimen, neither can they be cultured. lkchen

LS is a rare tuberculid, initially described by Hebra in No tubercular foci could be detected on screening. Rook’s textbook of dermatology. Systemic examination of the respiratory, cardiovascular, abdominal and central nervous llichen did not reveal any abnormalities.

It is imperative that dermatologists have a high index of suspicion in order to quickly diagnose and treat this condition. This page was last edited on 9 July lichsn, at There was no history of fever, cough, anorexia, weight loss, or any other systemic symptoms.


This highlights its rarity and significance as an important marker of undetected tuberculosis. Singhal A, Bhattacharya SN. Privacy Policy Terms of Use. We report a case of lichen scrofulosorum in an adult male without any focus of tuberculosis. Lichen scrofulosorum also known as “Tuberculosis cutis lichenoides” is a rare tuberculid that presents as a lichenoid eruption of minute papules in children and adolescents with tuberculosis.

Sign in to customize your interests Sign in to your personal account. He had no past or family history of TB. Sign in to save your search Sign in to your personal account. Indian Dermatol Online J. Views Read Scrofuposorum View history.

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Lichen scrofulosorum: A diagnosis overlooked

Scrofulosorrum scrofulosorum, tuberculid, anti-tubercular therapy. Retrieved from ” https: D ICD – Support Center Support Center. Actinomycetaceae Actinomyces israelii Actinomycosis Cutaneous actinomycosis Tropheryma whipplei Whipple’s disease Arcanobacterium haemolyticum Arcanobacterium haemolyticum infection Actinomyces gerencseriae.

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Lichen scrofulosorum

He responded promptly to antitubercular therapy with complete clearance of lesions in one month. CASE REPORT We report a case of year-old male who presented to us with multiple small erythematous to skin-colored, mostly perifollicular papules over forearms [ Figure 1 ], dorsum of hands [ Figure 2 ], shoulders, forehead [ Figure 3 ] and scapular region scrofulosorrum 15 days.

A prospective study of 39 patients. Sign in to download free article PDFs Sign in to access your subscriptions Sign in to your personal account. The characteristic liichen of the disease is an eruption of miliary papules of pale yellow, brownish red or of the same color as the rest of the skin.


From Wikipedia, the free encyclopedia. Correct diagnosis of LS is frequently delayed because of its rarity and clinical similarity lichwn many other more common skin conditions.

Lichen scrofulosorum: A diagnosis overlooked

In his clinical description he classified the disease under the exanthems, since lichen scrofulosorum is an eruption of small papules usually present over the trunk, back and abdomen. Author information Copyright and License information Disclaimer. Patient was started on CAT I antitubercular therapy ATT with four drugs rifampicin, isoniazid, ethambutol and pyrazinamide for the first two months, followed by rifampicin and isoniazid for six months.

Tuberculoid leprosy Borderline tuberculoid leprosy Borderline leprosy Borderline lepromatous leprosy Lepromatous leprosy Histoid leprosy. Create a free personal account to access your subscriptions, sign up for alerts, and more. In a study of 39 cases of LS by Singhal et al. By using this site, you agree to the Terms of Use and Privacy Policy.

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No lymphadenopathy or organomegaly was present. Actinobacteria primarily A00—A79—, — The lesions are usually asymptomatic, closely grouped, skin-colored to reddish-brown papulesoften perifollicular and are mainly found on the abdomen, chest, back, and proximal parts of the limbs.

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