#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Papulonecrotic Tuberculide. Case Report


Authors: M. Mináriková;  M. Důra;  M. Šlajsová;  J. Štork
Authors‘ workplace: Dermatovenerologická klinika 1. LF UK a VFN v Praze přednosta prof. MUDr. Jiří Štork, CSc.
Published in: Čes-slov Derm, 93, 2018, No. 4, p. 141-145
Category: Case Reports

Overview

Papulonecrotic tuberculid is a rare disease which belongs to the group of tuberculid skin reaction associated with tuberculosis. Authors present a case of 55 – years – old Pakistanian woman residing in the Czech Republic for 2 years with typical clinical presentation of skin lesions, positivity of QuantiFeron TB Gold and positive epidemiologic history. Histologic examination of two biopsy samples of skin lesions demonstrated obliterative vasculopathy with signs of granulomatous reaction. Skin lesions spontaneously subsided. The pneumologist extablished diagnosis of latent tuberculous infection with no treatment recommended. Meanwhile new episodes of skin exanthemas appeared with new clinical symptomatology like raised temperature, polyarthralgia and night sweating. The 
patient was refered to internal medicine clinic in order to exclude extrapulmonary tuberculosis.

Key words:

papulonecrotic exanthema – Pakistan – obliterative thrombotic vasculopathy


Sources

1. BARBAGALLO, J., TAGER, P., INGLETON, R. et al. Cutaneous tuberculosis: diagnosis and treatment. Am. J. Clin. Dermatol., 2002, 3(5), p. 319–328.

2. BRAUN-FALCO, O., THOMAS, P. The tuberculid concept from the current viewpoint. Hautarzt Z Dermatol Venerol Verwandte Geb., 1995, 46(6), p. 383–387.

3. FIGUEIREDO, A., POIARES-BAPTISTA, A., BRANCO, M. et al. Papular tuberculids post-BCG vaccination. Int. J. Dermatol., 1987, 26(5), p. 291–294.

4. FRANKEL, A., PENROSE, C., EMER, J. Cutaneous Tuberculosis. J. Clin. Aesthetic. Dermatol., 2009, 2(10), p. 19–27.

5. FREIMAN, A., TING, P., MILLER, M. et al. Papulonecrotic tuberculid: a rare form of cutaneous tuberculosis. Cutis, 2005, 75(6), p. 341–346.

6. GUPTA, V. Papulonecrotic tuberculid with scrofuloderma: an uncommon association. J. Clin. Diagn. Res. JCDR., 2015, 9(2), p. WD03-04.

7. HANDOG, E. B., GABRIEL, T. G., PINEDA, R. T. V. Management of cutaneous tuberculosis. Dermatol. Ther., 2008, 21(3), p. 154–161.

8. CHUANG, Y. H., KUO, T. T., WANG, C. M. et al. Simultaneous occurrence of papulonecrotic tuberculide and erythema induratum and the identification of Mycobacterium tuberculosis DNA by polymerase chain reaction. Br. J. Dermatol., 1997, 137(2), p. 276–281.

9. IDEN, D. L., ROGERS, R. S., SCHROETER, A. L. Papulonecrotic Tuberculid Secondary to Mycobacterium bovis. Arch. Dermatol., 1978, 114(4), p. 564–566.

10. JEYAKUMAR, W., GANESH, R., MOHANRAM, M. S. et al. Papulonecrotic tuberculids of the glans penis: case report. Genitourin Med., 1988, 64(2), p. 130–132.

11. JORDAAN, H. F., SCHNEIDER, J. W., SCHAAF, H. S. et al. Papulonecrotic tuberculid in children. A report of eight patients. Am. J. Dermatopathol., 1996, 18(2), p. 172–185.

12. JORDAAN, H. F., VAN NIEKERK, D. J., LOUW, M. Papulonecrotic tuberculid. A clinical, histopathological, and immunohistochemical study of 15 patients. Am. J. Dermatopathol., 1994, 16(5), p. 474–485.

13. KOH, H. Y., TAY, L. K., PANG, S. M. et al. Changing the way we diagnose tuberculids with interferon gamma release assays. Australas J. Dermatol., 2012, 53(1), p. 73–75.

14. MACGREGOR, R. R. Cutaneous tuberculosis. Clin. Dermatol., 1995, 13(3), p. 245–255.

15. MILLIGAN, A., CHEN, K., GRAHAM-BROWN, R. A. Two tuberculides in one patient – a case report of papulonecrotic tuberculide and erythema induratum occurring together. Clin Exp Dermatol. 1990, 15(1), p. 21–23.

16. QUIRÓS, E., BETTINARDI, A., QUIRÓS, A. et al. Detection of mycobacterial DNA in papulonecrotic tuberculid lesions by polymerase chain reaction. J. Clin. Lab. Anal., 2000, 14(4), p. 133–135.

17. SIM, J. H., WHANG, K. U. Application of the QuantiFERON®-TB Gold test in erythema induratum. J. Dermatol. Treat., 2014, 25(3), p. 260–263.

18. ŠTORK, J. Mykobakteriózy. In Dermatovenerologie. 2. vyd. Praha: Galén, 2013, s. 97–105, ISBN 978-80-7262-898-8.

19. TAN, S. H., TAN, H. H., SUN, Y. J. et al. Clinical utility of polymerase chain reaction in the detection of Mycobacterium tuberculosis in different types of cutaneous tuberculosis and tuberculids. Ann. Acad. Med. Singapore., 2001, 30(1), p. 3–10.

20. TAPPEINER, G. Tuberculosis and infections with atypical mycobacteria. In Fitzparick’s Dermatology in General Medicine. 7. vyd. New York: McGraw Hill Medical, 2008, s. 1768, ISBN 978-0-07-146690-5.

21. THAPPA, D. M., KARTHIKEYAN, K., JAYANTHI, S. Tuberculid in a child: transformation from papulonecrotic to lichen scrofulosorum. Pediatr Dermatol. 2003, 20(1), p. 91–93.

22. TIRUMALAE, R., YELIUR, I. K., ANTONY, M. et al. Papulonecrotic tuberculid – clinicopathologic and molecular features of 12 Indian patients. Dermatol. Pract. Concept., 2014, 4(2), p. 17–22.

23. VASHISHT, P., SAHOO, B., KHURANA, N. et al. Cutaneous tuberculosis in children and adolescents: a clinicohistological study. J. Eur. Acad. Dermatol. Venereol., 2007, 21(1), p. 40–47.

24. VICTOR, T., JORDAAN, H. F., VAN NIEKERK, D. J. et al. Papulonecrotic tuberculid. Identification of Mycobacterium tuberculosis DNA by polymerase chain reaction. Am. J. Dermatopathol., 1992, 14(6), p. 491–495.

25. WILSON-JONES, E., WINKELMANN, R. K. Papulonecrotic tuberculid: a neglected disease in Western countries. J. Am. Acad. Dermatol., 1986, 14(5 Pt 1), p. 815–826.

26. WONG, S., RIZVI, H., CERIO, R. et al. An unusual case of vulval papulonecrotic tuberculid. Clin. Exp. Dermatol., 2011, 36(3), p. 277–280.

Labels
Dermatology & STDs Paediatric dermatology & STDs
Login
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account

#ADS_BOTTOM_SCRIPTS#