Cutaneous tuberculosis (CTB) is the result of a chronic infection by Mycobacterium
tuberculosis, M. ovis and occasionally by the Calmette-Guerin bacillus. The clinical
manifestations are variable and depend on the interaction of several factors
including the site of infection and the host's immunity. This article revises the
current knowledge about this disease's physiopathology and immunology as well as
detailing the possible clinical presentations.
The evolution in the knowledge of tuberculosis' physiopathology allowed not only
a better understanding of the immunological factors involved in the disease
process, but also the development of new laboratory tests, as well as the
establishment of a histological classification that reflects the host's ability
to contain the infectious agent. At the same time, the increasing bacilli
resistance led to alterations in the basic tuberculosis treatment scheme in
2009. This article critically examines laboratory and histological
investigations, treatment regimens for tuberculosis and possible adverse
reactions to the most frequently used drugs.
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