Lichen Scrofulosorum (LS) is a rare tuberculid seen in children and young adults with underlying tuberculosis. We describe a patient with rare skin manifestations and simultaneous pulmonary tuberculosis. This 9 year old male child had suffered from productive cough for 1 month, characteristic LS rashes were noted over abdomen, back and buttocks 15days prior to admission to our hospital. Chest roentgenography showed prominent bronchovascular markings over both lung fields, and sputum culture yielded Mycobacterium tuberculosis complex. LS was diagnosed using the skin biopsy results and the papules healed with dystigmentation after antituberculous therapy.
Yates VM. Mycobacterial infections. In: Burns T, Breatnach S, Cox N, Griffiths C, editors. Rook’s Textbook of Dermatology. 8th ed. Oxford: Blackwell science; 2010. P. 31. 21-2.
Sethuraman G, Ramesh V. Cutaneous tuberculosis in children. Pediatric Dermatol. 2013; 30: 7-16.
Thakur BK, Verma S, Hazarika D. A clinicopathological study of cutaneous tuberculosis at Dibrugarh district, Assam. Indian J Dermatol. 2012; 57: 63-65.
Dogra N, Shah S, Dongra D, Lichen scrofulosorum: an important marker of occult tuberculosis. Indian J Dermatol. 2008; 53: 91-92.
Singal A, Sonthalia S. Cutaneous tuberculosis in children: the Indian perspective. Indian J Dermatol Venereol Leprol. 2010; 76: 494 – 503.
Yates VM, Rook GA. Mycobacterial infections. In: Burns T, Breatnach S, Cox N, Griffiths C, editors. Rook’s textbook of dermatology. 7th ed. Oxford: Blackwell Science; 2004. P. 28. 1-28. 39.
Thami GP, Kaur S, Kanwar AJ, Mohan H. Lichan scrofulosorum: A Rare manifestation of a common disease. Pediatr Dermatol 2002; 9: 22-6.
Sing G, kaur V, Singh S. Bacterial infections. In: Valia RG, Valia AR, Siddappa K, editors. Textbook and atlas of dermatology. 2nd ed. Mumbai: Bhalani Publishing House; 2003. P. 190-214.
Chang LY, Lo KK. Cutaneous tuberculosis in Hongkong: A ten year retrospective study. Int J Dermatol 1995; 34: 26-9.
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