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Papulonecrotic tuberculid in childhood

B Chavalittamrong, N Chantrarakul, P Talalak

    The Southeast Asian Journal of Tropical Medicine and Public Health
    |September 1, 1980
    PubMed
    Summary

    Papulonecrotic tuberculid, a rare skin condition, can manifest on the abdomen with accompanying tuberculosis. Early diagnosis and antituberculosis therapy are crucial for lesion regression and preventing complications.

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    Area of Science:

    • Dermatology
    • Infectious Diseases
    • Pediatrics

    Background:

    • Papulonecrotic tuberculid is a rare cutaneous manifestation of tuberculosis.
    • It often presents as a diagnostic challenge, particularly in children.
    • Co-existing active tuberculosis, such as cervical lymphadenopathy, is a key consideration.

    Observation:

    • A case involving a 12-year-old girl with papulonecrotic tuberculids on the anterior abdominal wall and active tuberculous cervical lymphadenopathy is presented.
    • The lesions appeared in crops, resembling chickenpox but with a longer duration.
    • A strongly positive tuberculin test supported the diagnosis.

    Findings:

    • Biopsy and demonstration of active tuberculous foci are essential for confirming the diagnosis.
    • Papulonecrotic tuberculid requires consideration in the differential diagnosis of various dermatological lesions.
    • The condition is treatable with antituberculosis therapy.

    Implications:

    • Timely diagnosis and treatment of papulonecrotic tuberculid are vital.
    • Misdiagnosis or delayed treatment can lead to adverse outcomes.
    • Physicians must maintain awareness of this rare entity for accurate patient management.

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