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A Case of Tuberculous Lymphadenitis accompanying Papulonecrotic Tuberculid

Tuberculosis & Respiratory Diseases / Tuberculosis & Respiratory Diseases,
2007, v.62 no.6, pp.536-539









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Abstract

Lymphadenitis is a common manifestation in tuberculous diseases. However, papulonecrotic tuberculid is an uncommon cutaneous manifestation, and is considered an allergic reaction against tuberculous bacilli in tuberculous lesions other than the lymph nodes. A wide great variety of cutaneous manifestations arise over a period of a few weeks – i.e., papules, necrosis, crusted and atrophic scars. We described a 27-year-old woman with right cervical tuberculous lymphadenitis and skin lesions involving her arms, legs and both fingers. Histopathologically, a leukocytoclastic vasculitis with V-shaped epidermal necrosis was observed in the upper and deep dermis, including the good response to anti-tuberculosis therapy support the diagnosis of papulonecrotic tuberculid. (Tuberc Respir Dis 2007; 62: 536-539)

keywords
Papulonecrotic tuberculid, Tuberculous lymphadenitis., Papulonecrotic tuberculid, Tuberculous lymphadenitis.

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Tuberculosis & Respiratory Diseases