A Case of Tuberculous Lymphadenitis accompanying Papulonecrotic Tuberculid.

Han, Tae Young; Kim, Ji Young; Kwak, Hee Won; Choi, Jae Chul; Shin, Jong Wook; Kim, Jae Yeol; Park, In Won; Kim, Meyung Nam; Choi, Byoung Whui

doi:2007.62.6.536

Tuberc Respir Dis > Volume 62(6); 2007 > Article

Case Report

Tuberculosis and Respiratory Diseases 2007;62(6):536-539.
DOI: https://doi.org/10.4046/trd.2007.62.6.536 Published online June 1, 2007.

A Case of Tuberculous Lymphadenitis accompanying Papulonecrotic Tuberculid.

Tae Young Han, Ji Young Kim, Hee Won Kwak, Jae Chul Choi, Jong Wook Shin, Jae Yeol Kim, In Won Park, Meyung Nam Kim, Byoung Whui Choi

¹Department of Internal Medicine, College of Medicine, Chung-Ang University, Seoul, Korea. basthma@hanmail.net, basthma@cau.ac.kr
²Dermatology, College of Medicine, Chung-Ang University, Seoul, Korea.

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.

Key Words: Papulonecrotic tuberculid, Tuberculous lymphadenitis