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Cutaneous tuberculous gummas in a patient with polymyositis
Guilherme Almeida Rosa da Silva1, Rogério Neves Motta, Ricardo de Souza Carvalho
1Teaching Hospital, Federal University of Rio de Janeiro (Hospital Universitário Gaffrée e Guinle. Universidade Federal do Estado do Rio de Janeiro - HUGG-UNIRIO), Rio de Janeiro, RJ, Brazil.
Abstract:
Metastatic tuberculous abscesses or cutaneous tuberculous gummas occur mostly by reactivation of ancient cutaneous foci and is triggered mainly by pharmacological immunosuppression, diabetes mellitus, alcoholism or acquired immunodeficiency syndrome. The present case report refers to a 33-year-old male patient with polymyositis and a previous diagnosis of treated pulmonary tuberculosis. He presented cutaneous abscesses and fever months after the tuberculosis regimen. The patient was diagnosed as metastatic tuberculous abscesses associated with immunosuppression as result of polymyositis treatment.
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