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Lichen scrofulosorum
Harshal S Joshi1, Asha Zacharia, Anup Warrier
1Department of Internal Medicine, Kerala Institute of Medical Sciences, Thiruvananthapuram, Kerala, India.
Abstract:
Tuberculosis is a common disease. The cutaneous form of tuberculosis known as tuberculid is an uncommon disease and is easily misdiagnosed. Lichen scrofulosorum is a rare form of tuberculid seen in children and young adults with or without other manifestations of tuberculosis. We report a case of a young adult with lichen scrofulosorum along with tuberculous lymphadenitis. The skin lesions responded promptly to antitubercular therapy with complete clearance of the lesions. Identification of the skin manifestation was especially important in this case because the lymph node biopsy was inconclusive, with tissue culture proving the diagnosis only after 4 weeks.
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