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Perianal ulceration: a case of tuberculosis cutis orificialis
A Leon-Mateos1, D Sánchez-Aguilar, F Lado
1Department of Dermatology, Clinical University Hospital, Faculty of Medicine, Santiago de Compostela, Spain. mejamie@usc.es
Background:
Tuberculosis cutis orificialis is an extremely rare variant of cutaneous tuberculosis. Perianal location is a possible site of presentation.
Methods:
We describe the management of a young male with a painless non-specific perianal ulcer, who presented an asymptomatic disseminate pulmonary and intestinal tuberculosis. He had a history of pulmonary sarcoidosis and long-term corticosteroid therapy.
Results:
Healing of the ulcer was achieved after three-drug antituberculous therapy, with an improvement of the radiographic pulmonary alterations.
Conclusions:
Tuberculous origin should be considered in persistent perianal ulcers to avoid delays in the treatment of this rare form of tuberculosis.
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