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A Case of Tuberculous Lymphadenitis accompanying Papulonecrotic Tuberculid  

Han, Tae Young (Department of Dermatology, College of Medicine, Chung-Ang University)
Kim, Ji Young (Department of Dermatology, College of Medicine, Chung-Ang University)
Kwak, Hee Won (Department of Internal Medicine, College of Medicine, Chung-Ang University)
Choi, Jae Chul (Department of Internal Medicine, College of Medicine, Chung-Ang University)
Shin, Jong Wook (Department of Internal Medicine, College of Medicine, Chung-Ang University)
Kim, Jae Yeol (Department of Internal Medicine, College of Medicine, Chung-Ang University)
Park, In Won (Department of Internal Medicine, College of Medicine, Chung-Ang University)
Kim, Myeung Nam (Department of Dermatology, College of Medicine, Chung-Ang University)
Choi, Byoung Whui (Department of Internal Medicine, College of Medicine, Chung-Ang University)
Publication Information
Tuberculosis and Respiratory Diseases / v.62, no.6, 2007 , pp. 536-539 More about this Journal
Abstract
Lymphadenitis is a common manifestation in tuberculous diseases. However, papulonecrotic tuberculid is an uncommon cutaneous manifestation, and is considered an allergic reaction against tuberculous bacilli in tuberculous lesions other than the lymph nodes. A wide great variety of cutaneous manifestations arise over a period of a few weeks - i.e., papules, necrosis, crusted and atrophic scars. We described a 27-year-old woman with right cervical tuberculous lymphadenitis and skin lesions involving her arms, legs and both fingers. Histopathologically, a leukocytoclastic vasculitis with V-shaped epidermal necrosis was observed in the upper and deep dermis, including the good response to anti-tuberculosis therapy support the diagnosis of papulonecrotic tuberculid.
Keywords
Papulonecrotic tuberculid; Tuberculous lymphadenitis;
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