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Scrofuloderma neck with chest wall abscess.

Amer Ejaz1, Aurangzeb, Zaheer Awan

  • 1Department of Dermatology, Combined Military Hospital, Kharian Cantt. amer_ejaz@yahoo.com

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|June 22, 2006
PubMed
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Cutaneous tuberculosis, a rare but increasing form of tuberculosis, can manifest as scrofuloderma. This case highlights a rare neck scrofuloderma complication with a chest wall abscess, emphasizing its importance in differential diagnosis.

Area of Science:

  • Dermatology
  • Infectious Diseases
  • Microbiology

Background:

  • Cutaneous tuberculosis (TB) is an uncommon manifestation of tuberculosis.
  • The incidence of cutaneous TB is increasing globally, mirroring the resurgence of tuberculosis.
  • Scrofuloderma is a common form of cutaneous TB, typically affecting the head and neck region.

Observation:

  • A rare case of scrofuloderma of the neck with a concurrent tuberculous abscess of the anterior chest wall is presented.
  • The patient presented with a chronic, non-healing ulcer on the neck and a swelling on the anterior chest wall.
  • The clinical presentation mimicked other dermatological conditions, necessitating a thorough diagnostic workup.

Findings:

  • The patient's lesions showed a positive response to standard antituberculous treatment.

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  • Histopathological examination and microbiological cultures confirmed the presence of Mycobacterium tuberculosis in the affected tissues.
  • The chest wall abscess is a rare complication associated with scrofuloderma of the neck.
  • Implications:

    • This case underscores the importance of considering cutaneous tuberculosis in the differential diagnosis of chronic neck ulcers and chest wall lesions.
    • Early diagnosis and appropriate antituberculous treatment are crucial for managing scrofuloderma and its rare complications.
    • Increased awareness among clinicians regarding the diverse presentations of cutaneous TB can lead to improved patient outcomes.