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Scrofuloderma of the Intermammary Area in an Adolescent Female: A Case Report
Mandeep Dutta Joshi1, Om Prakash Bhatta2, Arun Kalikote3
1Department of Dermatology Manipal College of Medical Sciences Pokhara Nepal.
Clinical Case Reports
|March 4, 2025
Summary
Scrofuloderma, a rare skin tuberculosis form, often stems from lymph node tuberculosis. This case highlights delayed diagnosis challenges in endemic regions like Nepal, emphasizing the need for awareness.
Area of Science:
- Dermatology
- Infectious Diseases
- Microbiology
Background:
- Scrofuloderma is a rare cutaneous manifestation of tuberculosis (TB).
- It typically originates from contiguous spread of underlying tuberculous lymphadenitis.
- Cutaneous TB is often underestimated in TB-endemic countries, potentially leading to diagnostic delays.
Purpose of the Study:
- To report a case of scrofuloderma in a young patient from Nepal.
- To highlight the diagnostic challenges and clinical presentation of this rare condition.
Main Methods:
- Case presentation of a 14-year-old female patient.
- Clinical examination of the lesion.
- Histopathological diagnosis of scrofuloderma.
Main Results:
- A 14-year-old girl presented with a 3-month history of a painless, ulcerated lesion in the intermammary region.
- Histopathological examination confirmed scrofuloderma.
Conclusions:
- Scrofuloderma, though rare, should be considered in the differential diagnosis of ulcerative skin lesions, especially in TB-endemic areas.
- Early recognition and diagnosis are crucial to prevent morbidity associated with cutaneous tuberculosis.
