Journal List > Tuberc Respir Dis > v.62(6) > 1001110

Han, Kim, Kwak, Choi, Shin, Kim, Park, Kim, and Choi: A Case of Tuberculous Lymphadenitis accompanying Papulonecrotic Tuberculid

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.

Figures and Tables

Figure 1
Erythematous crusted papules on the both forearm, knee and fingers.
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Figure 2
A) V shaped necrosis on the epidermis (H&E stain, ×40). B) Leukocytoclastic vasculitis on the dermal vessel (H&E stain, ×200)
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