Lichen scrofulosorum

Joshi, Harshal Satish; Zacharia, Asha; Warrier, Anup

doi:10.1136/bcr-2013-200858

Cited by 4 publications

(8 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A substantially positive tuberculin skin test, evidence of concurrent or prior tuberculosis, and a fast response to antituberculous chemotherapy are important indicators of tuberculid disease. They fall into one of three categories: first, lichen scrofulosorum; second, Bazin's erythema induratum; and third, papulonecrotic tuberculid [6].…”

Section: Discussionmentioning

confidence: 99%

Pulmonary Tuberculosis With Left Pleural Effusion and Lichen Scrofulosorum: A First-of-Its-Type Report

Yadav

2024

Cureus

View full text Add to dashboard Cite

Tuberculosis is prevalent in high-burden countries, but its cutaneous form, tuberculid, is rare and often misdiagnosed. Lichen scrofulosorum, a type of tuberculid, is uncommon and typically affects children and young adults, sometimes alongside other tuberculosis symptoms. Herein, a very rare case of lichen scrofulosorum in a 20-year-old Indian male with an underlying focus of tuberculosis in the lungs and pleura is presented. Prompt treatment after detailed lab work backed by clinical assessment helped in establishing the diagnosis. He was put on antitubercular therapy, which led to a marked improvement in skin and pulmonary lesions. However, he was lost to follow-up.

show abstract

Section: Discussionmentioning

confidence: 99%

Pulmonary Tuberculosis With Left Pleural Effusion and Lichen Scrofulosorum: A First-of-Its-Type Report

Yadav

2024

Cureus

View full text Add to dashboard Cite

show abstract

“…The patient presents with minute papules on the back, trunk, and extremities. They are painless, skin-colored to hyperpigmented raised lesions that may be scattered or grouped with para-follicular distribution [2]. Acid-fast bacilli are not detected in LS lesions as they are probably destroyed due to the hypersensitivity reaction [7].…”

Section: Discussionmentioning

confidence: 99%

“…LS can be considered as a crucial marker of occult tuberculosis. Immunocompetent children with underlying TB are frequently affected [2]. Both tuberculosis of tonsil and lichen scrofulosorum are sporadic presentations of extrapulmonary tuberculosis, and their co-existence has not been reported in the literature.…”

Section: Introductionmentioning

confidence: 99%

A rare association of tonsillar tuberculosis and lichen scrofulosorum

Harit

Sahoo

Singh

2021

Egypt J Otolaryngol

View full text Add to dashboard Cite

Background Both tonsillar tuberculosis and lichen scrofulosorum are sporadic presentations of extrapulmonary tuberculosis. Lichen scrofulosorum commonly presents in children and young adults as lichenoid eruptions over the skin. Granulomatous inflammation of the tonsils, however, presents as non-specific sore throat and foreign body sensation in the throat. The concomitant presentation of the abovementioned tubercular manifestations has not been reported in the literature. Case presentation Herein, we report a case of an 11-year-old male patient who presented with a history of recurrent sore throat and ulcerative lesion over the tonsil. Systemic examination revealed multiple perifollicular eruptions over the trunk and back. The diagnosis was confirmed on histopathological findings of epithelioid cell granulomas with Langerhans giant cells following biopsy from the tonsil and skin lesions. Antitubercular therapy was initiated soon after. The patient responded to treatment as early as 6 weeks and was completely asymptomatic at 1 year of follow-up. Conclusion A diagnosis of granulomatous tonsillitis should alert the physician to the possibility of underlying systemic tuberculosis. In our case, coexistence of lichen scrofulosorum helped us to substantiate the diagnosis based on the biopsy report. Response to antitubercular agents is excellent and should be started at the earliest.

show abstract

“…Normally giant cells are absent and acid-fast bacilli are not found [3,4,6]. Tubercle bacilli are almost never seen in the biopsy specimen and they cannot be cultured [4,6,11].…”

Section: Discussionmentioning

confidence: 99%

“…Tuberculids are exanthems possibly induced by a hyperergic response to mycobacteria and/or their fragments released from a different focus of concomitant or past infection [3,4]. LS is presenting as a lichenoid eruption of small papules most commonly seen in children and adolescents with TB.…”

Section: Introductionmentioning

confidence: 99%