Lichen Scrofulosorum. A 9-year-old boy presented with asymptomatic, skin colored, grouped papules with mild scaling on elbows, buttocks, knees, and dorsa of. Lichen scrofulosorum is a tuberculid that is usually seen in children or young adults. Although a rare occurrence, this tuberculid is an important marker of occult. In lichen scrofulosorum there is a superficial inflammatory reaction about hair follicles and sweat ducts which may include tuberculoid granulomas. Acid-fast.

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The lesions are usually asymptomatic, closely grouped, skin-colored to reddish-brown papulesscrofulisorum perifollicular and are mainly found on the abdomen, chest, back, and proximal parts of the limbs.

Create a free personal account to download free article PDFs, sign up for alerts, customize your interests, and more. Rook’s Textbook of Dermatology. D ICD – Diseases of the skin. CASE REPORT We report a case of year-old male who presented to us with multiple small erythematous to skin-colored, mostly perifollicular papules over forearms [ Figure 1 ], dorsum of hands [ Figure 2 ], shoulders, forehead [ Figure 3 ] and scapular region since 15 days.

Indian Dermatol Online J. Examination of hair, nails and mucosal surfaces was normal. This page was last edited on 9 Julyat Author information Copyright and License information Disclaimer.


He responded promptly to antitubercular therapy with complete clearance of lesions in one month. Corynebacterium diphtheriae Diphtheria Corynebacterium minutissimum Erythrasma Corynebacterium jeikeium Group JK corynebacterium sepsis.

Conditions in this group include: Nil Conflict of Interest: Tubercle bacilli are almost never seen in the histology specimen, neither can they be cultured.

Retrieved from ” https: Lichen scrofulosorum was first recognized and described by Hebra 1 in Open in a separate window.

Lichen scrofulosorum: A diagnosis overlooked

Lichen scrofulosorum is a tuberculous entity consisting of small areas of lupus caused by tuberculous infiltrate, and is partly differentiated from lupus by the small dimension of the lesion. Diagnosis of these lesions can licuen difficult, as they resemble many other dermatological conditions that are often primarily considered. By using this site, you agree to the Terms of Use and Privacy Policy. Cutaneous nerves were spared. Lichwn 2 was the first to describe lichen scrofulosorum histologically.

New Sydenham Society; Create a personal account to register for email alerts with links to free full-text articles. Granuloma in the papillary dermis was impinging onto the epidermis, which showed mild spongiotic psoriasiform changes. This confirmed the diagnosis of LS.

Singhal A, Bhattacharya SN. Lichen scrofulosorum, tuberculid, anti-tubercular therapy. Mycobacterium-related cutaneous conditions Infection-related cutaneous condition stubs. There was no history of oichen, cough, anorexia, weight loss, or any other systemic symptoms.


The eruption is usually associated with a strongly positive tuberculin reaction. Please review our privacy policy. This highlights its rarity and significance as an important marker of undetected tuberculosis. Actinobacteria primarily A00—A79—, — Get free access to newly published articles Create a personal account or scrofulsorum in to: It is imperative that dermatologists have a high index of suspicion in scrofulosorun to quickly diagnose and treat this condition.

Purchase access Subscribe to JN Learning for one year. In a study of 39 cases of LS by Singhal et al. Actinomycetaceae Actinomyces israelii Actinomycosis Cutaneous actinomycosis Tropheryma whipplei Whipple’s disease Arcanobacterium haemolyticum Arcanobacterium haemolyticum infection Actinomyces gerencseriae.

No tubercular foci could be detected on screening.

Lichen scrofulosorum

National Center for Biotechnology InformationU. He had no past or family history of TB. Patient was started on CAT I antitubercular therapy ATT with four drugs rifampicin, isoniazid, ethambutol and pyrazinamide for the first two months, followed by rifampicin and isoniazid for six months.