Joshi Harshal S, Zacharia Asha, Warrier Anup
Department of Internal Medicine, Kerala Institute of Medical Sciences, Thiruvananthapuram, Kerala, India.
BMJ Case Rep. 2014 Jan 30;2014:bcr2013200858. doi: 10.1136/bcr-2013-200858.
Tuberculosis is a common disease. The cutaneous form of tuberculosis known as tuberculid is an uncommon disease and is easily misdiagnosed. Lichen scrofulosorum is a rare form of tuberculid seen in children and young adults with or without other manifestations of tuberculosis. We report a case of a young adult with lichen scrofulosorum along with tuberculous lymphadenitis. The skin lesions responded promptly to antitubercular therapy with complete clearance of the lesions. Identification of the skin manifestation was especially important in this case because the lymph node biopsy was inconclusive, with tissue culture proving the diagnosis only after 4 weeks.
结核病是一种常见疾病。被称为结核疹的皮肤型结核病是一种罕见疾病，很容易被误诊。瘰疬性苔藓是结核疹的一种罕见形式，见于儿童和年轻人，有无其他结核病表现均可。我们报告一例患有瘰疬性苔藓并伴有结核性淋巴结炎的年轻成人病例。皮肤病变对抗结核治疗反应迅速，病变完全消退。在该病例中，皮肤表现的识别尤为重要，因为淋巴结活检结果不明确，组织培养在4周后才确诊。
