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Recurrent Genital Ulcers
Dibyendu Bikash Bhanja1, Abheek Sil1, Avik Panigrahi1
1Department of Dermatology, Venereology, and Leprosy, R.G.Kar Medical College, Kolkata, West Bengal, India.
Urology
|November 5, 2020
Summary
Papulonecrotic tuberculid is a skin reaction to Mycobacterium tuberculosis. This rare condition, typically on the body, can manifest on the glans penis, causing ulcerated papules and scarring.
Area of Science:
- Dermatology
- Infectious Diseases
- Immunology
Background:
- Papulonecrotic tuberculid is a rare cutaneous manifestation of tuberculosis.
- It results from a hypersensitivity reaction to Mycobacterium tuberculosis.
- Dissemination occurs via hematogenous spread from an internal tuberculous focus.
Observation:
- Characterized by recurrent eruptions of asymptomatic, dusky red papules.
- Lesions progress to ulceration and crusting.
- Healing occurs over weeks, leaving varioliform scars.
Findings:
- While typically affecting extragenital sites, isolated glans penis involvement is exceptionally rare.
- This presentation highlights the diverse clinical spectrum of cutaneous tuberculosis.
- Diagnosis requires high clinical suspicion and correlation with microbiological or histological evidence of tuberculosis.
Implications:
- Understanding this rare presentation is crucial for accurate diagnosis and management of genitourinary tuberculosis.
- Early recognition can prevent complications and facilitate timely treatment of the underlying infection.
- Highlights the importance of considering systemic infections in dermatological diagnoses.
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