[Atypically localized scrofuloderma]

Tuberculosis of the skin and peripheral subcutaneous lymphnodes represents the most frequent forms of extrapulmonary tuberculosis. The group of patients subjected to our observation had the highest incidence of tuberculous lymphadenitis. The second most frequent disease observed was scrofuloderma. Its profound colliquative form, the so-called tuberculosis subcutanea fistulosa profunda is extremely scarce. Our work describes one case of such a disease. The pathological process in our patient was localized in the perianal and perigenital region. Especially this localization is typical for other non-specific dermal diseases. The work stresses the tuberculous ethiology of the pathological process in this region from the differential diagnostic point of view. The fact that this disease has not been appropriately treated due to the lack of precedent cases during the past years, has caused long lasting physical and psychical suffering of the patient. (Tab. 1, Fig. 1, Ref. 5.)