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.

Author: Voktilar Gardazragore
Country: Gabon
Language: English (Spanish)
Genre: Technology
Published (Last): 19 February 2008
Pages: 410
PDF File Size: 4.43 Mb
ePub File Size: 18.22 Mb
ISBN: 115-9-90856-993-5
Downloads: 47316
Price: Free* [*Free Regsitration Required]
Uploader: Arakasa

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 since licheb days. 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 since 15 days.

In a study of 39 cases of LS by Singhal et al. Initially, the patient was treated as a case of miliaria and given calamine lotion; however, when there was no improvement after 1 week, other differentials like LS, keratosis pilaris, lichen spinulosis, lichen nitidus, and secondary syphilis were considered.

There was a problem providing the content you requested

Indian Dermatol Online J. There was no history of fever, cough, anorexia, weight loss, or any other systemic symptoms. The lesions are usually asymptomatic, closely grouped, skin-colored to reddish-brown papules, often perifollicular, and are mainly found on the abdomen, chest, back, and proximal parts of the limbs.

This article has been cited by other articles in PMC. You can help Wikipedia by expanding it. Sign in to save your search Sign in to your personal account. Register for email alerts with links to free full-text articles Access PDFs of free articles Manage your interests Save searches and receive search alerts. No lymphadenopathy or organomegaly was present.


Priyanka SinghalPankil H. Lichen scrofulosorum was first recognized and described by Hebra 1 in Retrieved from ” https: Tubercle bacilli are almost never seen in the histology specimen, neither can they be cultured. Actinomyces israelii Actinomycosis Cutaneous actinomycosis Tropheryma whipplei Whipple’s disease Arcanobacterium haemolyticum Arcanobacterium haemolyticum infection Actinomyces gerencseriae. Lichen scrofulosorum is a tuberculous entity consisting of small areas of lupus caused by tuberculous infiltrate, and is partly differentiated from lupus by the small dimension of the lesion.

Corynebacterium diphtheriae Diphtheria Corynebacterium minutissimum Erythrasma Corynebacterium jeikeium Group JK corynebacterium sepsis.

New Sydenham Society; Rook’s Textbook of Dermatology. 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.

The characteristic symptom 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.

Lichen scrofulosorum – Wikipedia

Lichen scrofulosorum, tuberculid, anti-tubercular therapy. Create a personal account to register for email alerts with links to free full-text articles. The mother first noticed the lesions on the. However, rarely antigen of mycobacterial TB has been demonstrated in papulonecrotic tuberculid, another type of more frequently seen tuberculid.

This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3. A ten year retrospective study. By using this site, you agree to scrofluosorum Terms of Use and Privacy Policy.


Diagnosis of these lesions can be difficult, as they resemble many other dermatological conditions that are often primarily considered. Actinobacteria primarily A00—A79—, — Development of a polymerase chain reaction dot-blotting system for detecting cutaneous tuberculosis.

Lichen scrofulosorum

Pateland Yogesh S. Privacy Policy Terms of Use. Sign in to make a comment Sign in to your personal account. The lesions were mildly itchy.

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. He responded promptly to antitubercular therapy with complete clearance of lesions in one month.

Lichen scrofulosorum: A diagnosis overlooked

Create a free personal account to access your subscriptions, sign up for alerts, and more. Conditions in this group include: This confirmed the diagnosis of LS. However, it should be considered in patients presenting with persistent papular lesions not responding to other therapies. Scrofulosprum 2 was the first to describe lichen scrofulosorum histologically.

Tuberculids are a group of skin conditions associated with an underlying or silent focus of TB. This page was last edited on 9 Julyat A proper history and physical examination as well as diligent laboratory and diagnostic testing can determine the scrofulosormu of occult tubercular focus; substantial morbidity can be prevented scrofulosorjm very effective conventional ATT.

Tuberculoid leprosy Borderline tuberculoid leprosy Borderline leprosy Borderline lepromatous leprosy Lepromatous leprosy Histoid leprosy. Cutaneous nerves were spared.