Background: Burden of tuberculosis still persists in Morocco despite major advances in its treatment strategies. Cutaneous tuberculosis (CTB) is rare, and underdiagnosed, due to its clinical and histopathological polymorphism. The purpose of this multi-center retrospective study is to describe the epidemiological, clinical, histopathological and evolutionary aspects of CTB in Fez (Morocco).Methods: We conducted a cross-sectional descriptive multicenter study from May 2006 to May 2016. The study was performed in the department of dermatology at the University Hospital Hassan II and at diagnosis centers of tuberculosis and respiratory diseases of Fez (Morocco). The patients with CTB confirmed by histological and/or biological examination were included in the study.Results: 146 cases of CTB were identified. Men accounted for 39.8% of the cases (58 patients) and women 60.2% (88 cases), sex-ratio was 0.65 (M/W). The age of the patients ranged from 15 months to 92 years, with an average age of 34. 7 years. The average length of follow-up was 22 ± 10 months. The clinical forms were dominated by tuberculosis scrofuloderma (46%) and erythema induratum of Bazin (EIB) (20%), followed by gummas (14%), lupus vulgaris (8%), tuberculosis verrucosa cutis (4%), papulonecrotic tuberculids (3%), tuberculosis chancre (3%) and orificial tuberculosis (2%).
Conclusion:The predominance of multibacillary forms of cutaneous tuberculosis, scrofuloderma, and gummas testify to the endemicity of this disease in our country.