Lichen scrofulosorum in a patient with AIDS.

A patient with AIDs who presented with pulmonary tuberculosis and cervical scrofuloderma developed a widespread eruption of lichenoid papules shortly after commencing antituberculous therapy. The clinical and histological features in this case were consistent with lichen scrofulosorum even though the tuberculin test was negative. To our knowledge this is the first reported case of lichen scrofulosorum in an HIV positive patient. The lesions cleared following 8 weeks of antituberculous therapy.