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Scrofuloderma from the acromioclavicular joint presenting as a chronic ulcer in an immunocompetent host
1National Skin Centre, Singapore. wptan@nsc.gov.sg
Singapore Medical Journal
|August 31, 2007
Abstract:
A 53-year-old woman presented with a chronic, non-healing painless ulcer over her right clavicular area of a two-month duration. Skin biopsy, microbiological and radiological investigations confirmed the diagnosis of scrofuloderma arising from an underlying tuberculous infection of her acromioclavicular joint. She was treated successfully with anti-tuberculosis therapy with complete healing of the ulcer. Awareness of this uncommon presentation of osteoarticular tuberculosis may assist in earlier diagnosis.
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