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Lichen scrofulosorum in a patient with AIDS
A V Arianayagam1, S Ash, R R Jones
1Department of Dermatology, Ealing Hospital National Health Trust, Southall, Middlesex, UK.
Clinical and Experimental Dermatology
|January 1, 1994
Summary
This is the first reported case of lichen scrofulosorum in an HIV-positive patient. The widespread skin eruption resolved after eight weeks of tuberculosis treatment.
Area of Science:
- Dermatology
- Infectious Diseases
- Immunology
Background:
- Tuberculosis (TB) is a significant opportunistic infection in individuals with acquired immunodeficiency syndrome (AIDS).
- Lichen scrofulosorum is a rare cutaneous manifestation of tuberculosis, typically seen in children with a positive tuberculin test.
Observation:
- A patient with AIDS presented with pulmonary TB and cervical scrofuloderma.
- The patient developed a widespread lichenoid papular eruption after initiating antituberculous therapy.
Findings:
- The patient's clinical and histological presentation was consistent with lichen scrofulosorum, despite a negative tuberculin test.
- This represents the first documented case of lichen scrofulosorum in an HIV-positive individual.
Implications:
- This case expands the known spectrum of cutaneous manifestations of TB in HIV-positive individuals.
- It highlights the importance of considering lichen scrofulosorum in HIV-positive patients with similar dermatological presentations, even with negative tuberculin tests.
- Antituberculous therapy was effective in resolving the skin lesions.