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Kothari KD, Patel NM, Solanki AD, Modi KR, Rangnani TC, Ardeshna H, Jagsar C. Unmasking the enigma: Investigating the clinicoepidemiological and histopathological dimensions of cutaneous tuberculosis in a Western Indian tertiary care hospital. Indian J Tuberc 2024; 71:465-470. [PMID: 39278681 DOI: 10.1016/j.ijtb.2024.01.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2023] [Revised: 11/13/2023] [Accepted: 01/03/2024] [Indexed: 09/18/2024]
Abstract
BACKGROUND AND AIM Cutaneous Tuberculosis constitutes 1-1.5 % of extrapulmonary tuberculosis with a wide clinical spectrum which relies upon the portal of entry of mycobacteria and patient's immunity. Complications of cutaneous tuberculosis if treatment is delayed includes hazardous sequel like dissemination and disfigurement. Early diagnosis and cure is the ultimate way to prevent such complications. This has motivated us to study clinicoepidemiological, histopathological profile and outcome post treatment of cutaneous tuberculosis patients of our region in detail. METHODS Total 78 patients were studied during the period of August 2018-2022, who were suspicious to have cutaneous tuberculosis clinically of which 54 were confirmed with histopathology. Patient related clinicoepidemiological data such as age, gender, past history of tuberculosis or contact history, chest-x ray, tuberculin test positivity was analysed in a retrospective manner. RESULTS Among the 54 biopsy proven cases (33 women, 21 men) ranging from 6 to 76 years, 27 patients have been found to have Lupus Vulgaris followed by 15 cases of scrofuloderma. Acid fast bacilli were seen in 9 patients with majority in scrofuloderma. Histopathology revealed epithelioid cell granuloma without necrosis in 34 cases and caseation necrosis in 20 patients. 48 patients showed complete recovery with 6 months of Anti-Koch Treatment and some complications were observed in remaining. Limitation of this research was that long term follow up was not possible. CONCLUSION Lack of familiarity might lead to overlooking of a standard presentation or misdiagnosis. So, an eagle eye with high degree of suspicion is crucial for control and prevention of morbidity and for improving socio-economic burden of cutaneous tuberculosis.
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Affiliation(s)
- Khoobi Dipakkumar Kothari
- Dermatology Department, Narendra Modi Medical College, LG Hospital, Maninagar, Ahmedabad 380008, Gujarat, India.
| | - Neela M Patel
- Dermatology Department, Narendra Modi Medical College, LG Hospital, Maninagar, Ahmedabad 380008, Gujarat, India.
| | - Avanita D Solanki
- Dermatology Department, Narendra Modi Medical College, LG Hospital, Maninagar, Ahmedabad 380008, Gujarat, India.
| | - Khushbu R Modi
- Dermatology Department, Narendra Modi Medical College, LG Hospital, Maninagar, Ahmedabad 380008, Gujarat, India.
| | - Twinkle C Rangnani
- Dermatology Department, Narendra Modi Medical College, LG Hospital, Maninagar, Ahmedabad 380008, Gujarat, India.
| | - Heet Ardeshna
- Dermatology Department, Narendra Modi Medical College, LG Hospital, Maninagar, Ahmedabad 380008, Gujarat, India.
| | - Chirayu Jagsar
- Dermatology Department, Narendra Modi Medical College, LG Hospital, Maninagar, Ahmedabad 380008, Gujarat, India.
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Rosero C, Baldeón L, Alulema V, Rueda A, Vaca L, Galarza D, Prócel C. Cutaneous tuberculosis, different clinical spectrum of the same disease: the importance of pre-test probability. Dermatol Reports 2024; 16:9770. [PMID: 38957638 PMCID: PMC11216143 DOI: 10.4081/dr.2024.9770] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2023] [Accepted: 07/16/2023] [Indexed: 07/04/2024] Open
Abstract
This report presents three cases of cutaneous tuberculosis that were identified at the Calderon Hospital in Quito, Ecuador. The first case involved a 44-year-old man who had tuberculosis verrucosa cutis, characterized by circinate erythematous areas, ulcerated nodules, and verruciform plaques extending from the right lower limb to the hip. In the second case a 50-year-old woman with a 1-year history of pruritic dermatosis in the left ciliary area was diagnosed with lupus vulgaris. In the third case, a 23-year-old man with erythematous nodules draining caseous material at the neck, thorax, and axillary region was diagnosed with scrofuloderma. It was discovered that nearly every laboratory test that was accessible had drawbacks as a diagnostic technique. Correlating clinical and epidemiological features with the pretest probability is crucial for optimizing indicators and confirming or ruling out the diagnosis in immunocompromised and high-risk individuals with atypical lesions.
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Affiliation(s)
- Carla Rosero
- Dermatology Postgraduate, Faculty of Medical Sciences, Central University of Ecuador, Quito
- Department of Dermatology, Calderón General Hospital, Quito
| | - Lucy Baldeón
- Biomedicine Research Institute, Central University of Ecuador, Quito
- Faculty of Medical Sciences, Central University of Ecuador, Quito
| | - Valeria Alulema
- Biomedicine Research Institute, Central University of Ecuador, Quito
| | - Adriana Rueda
- Biomedicine Research Institute, Central University of Ecuador, Quito
| | - Lorena Vaca
- Department of Dermatology, Calderón General Hospital, Quito
| | | | - Cesar Prócel
- Internal Medicine Department, Metropolitan Hospital, Quito, Ecuador
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Couppoussamy KI, Shanmugam S, Devanda R, Murugan R. Lupus vulgaris: a narrative review. Int J Dermatol 2024; 63:431-437. [PMID: 38102852 DOI: 10.1111/ijd.16987] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/16/2023] [Revised: 10/24/2023] [Accepted: 12/05/2023] [Indexed: 12/17/2023]
Abstract
Lupus vulgaris (LV) is a type of paucibacillary cutaneous tuberculosis that can occur due to inoculation, lymphatic, or hematogenous route. It occurs in a previously sensitized individual with high immunity to tuberculosis. LV can have different morphology of presentation, which can lead to difficulty in diagnosis. The Tuberculin test is strongly positive. Histopathology will show epithelioid granulomas in the superficial dermis and acid-fast bacilli rarely demonstrable within the granulomas. Dermoscopy will show focused linear vessels on a yellow to orange background. Culture is the gold standard for diagnosis, but its positivity rate is low. Mycobacterium tuberculosis bacilli can be detected using polymerase chain reaction from the lesions. Histopathology, tuberculin test, dermoscopy, molecular test, and culture would help diagnose LV. This review discusses the introduction, pathogenesis, clinical features, differential diagnosis, investigations, complications, and treatment of lupus vulgaris in detail. This review can help the dermatologist understand the condition better with appropriate diagnosis and therapy.
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Affiliation(s)
- Kanmani Indra Couppoussamy
- Department of Dermatology and STD, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidyapeeth, Puducherry, India
| | - Srikanth Shanmugam
- Department of Dermatology and STD, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidyapeeth, Puducherry, India
| | - Rajendra Devanda
- Department of Dermatology and STD, National Institute of Medical Sciences and Research, Jaipur, India
| | - Roobashri Murugan
- Department of Pathology, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidyapeeth, Puducherry, India
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4
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Yadav S. Lupus Vulgaris Plaque Type on the Face Without Pulmonary Involvement: A Rare Case. Cureus 2024; 16:e51799. [PMID: 38322084 PMCID: PMC10846630 DOI: 10.7759/cureus.51799] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/07/2024] [Indexed: 02/08/2024] Open
Abstract
Cutaneous tuberculosis is a rare finding with a difficult diagnosis. This is mainly due to the low sensitivity and specificity of almost all diagnostic tests, accompanied by ambiguity in clinical presentations and non-specific clinical features. A 25-year-old Indian male is presented who reported having a thick, scaly lesion on the left side of his face. A definite diagnosis was achieved after a detailed clinical examination and a detailed diagnostic workup that involved a biopsy. He was put on antituberculous chemotherapy for six months.
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Affiliation(s)
- Sankalp Yadav
- Medicine, Shri Madan Lal Khurana Chest Clinic, New Delhi, IND
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5
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Sangah AB, Jabeen S, Hunde MZ, Devi S, Mumtaz H, Shaikh SS. Maternal and fetal outcomes of SLE in pregnancy: a literature review. J OBSTET GYNAECOL 2023; 43:2205513. [PMID: 37154805 DOI: 10.1080/01443615.2023.2205513] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/10/2023]
Abstract
Systemic Lupus Erythematosus (SLE) is an auto-immune disease in which the immune system assaults its tissues. We aimed to analyse the maternal and foetal outcomes during pregnancy in SLE mothers. A literature search was conducted by two investigators to assess SLE's outcomes on maternal and foetal during pregnancies. We searched PubMed/Medline, Embase, and Google scholar to collect evidence from different research studies, draw the conclusion, and report it. In our investigation, we found out that SLE could cause a spectrum of complications during pregnancy, not only for the mother but also for the foetus. It could affect fertility and cause difficult pregnancies for the couple as well which includes certain complications such as: preterm labour and delivery, high blood pressure (preeclampsia), placental insufficiency, miscarriage or stillbirth, whereas in the foetus SLE can cause mortality, preterm birth, and neonatal lupus (a temporary condition in the baby caused by SLE-related antibodies) and structural abnormalities. The literature suggests that SLE could prove fatal for the foetus and induce many complications in the mother. However, this could be avoided if pregnancy is planned right from the start and proper management is provided to the mother during pregnancy and delivery.p.
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Affiliation(s)
- Abdul Basit Sangah
- Liaquat National Hospital and Medical College Karachi, Karachi, Pakistan
| | - Sidra Jabeen
- Liaquat National Hospital and Medical College Karachi, Karachi, Pakistan
| | | | - Sunita Devi
- Liaquat National Hospital and Medical College Karachi, Karachi, Pakistan
| | - Hassan Mumtaz
- Senior Clinical Research Associate, Maroof International Hospital, Public Health Scholar, Health Services Academy, Islamabad, Pakistan
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Gupta P, Shruti S, Siraj F, Bhargava A, Khullar G. Primary cutaneous large B cell lymphoma masquerading as lupus vulgaris. J Cancer Res Ther 2023; 19:1477-1479. [PMID: 37787336 DOI: 10.4103/jcrt.jcrt_54_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/04/2023]
Abstract
Primary cutaneous large B cell lymphoma, leg type is a rare and aggressive variant of cutaneous B cell lymphoma. It predominantly affects elderly women, with the lower limb being the most common site of presentation. The overall prognosis is poor, compared to other cutaneous B cell lymphomas. A 47-year-old man presented with a progressively enlarging nodule over the medial aspect of the left foot since 2 months. Clinical examination revealed a nodular plaque-like lesion with central ulceration that measured 7 × 7 cm, firm in consistency, and with ill-defined margins. The initial clinical diagnosis was lupus vulgaris. An incision biopsy was done, which on histopathology and immunohistochemistry revealed a rare diagnosis of primary cutaneous B cell lymphoma, leg type. The patient was started on chemotherapy; however, he succumbed to his illness about 1 year after the initial presentation. It is a rare type of cutaneous lymphoma, which may masquerade infectious disorders such as lupus vulgaris. A detailed histopathological and immunohistochemical analysis is essential for its correct diagnosis and management. Only a handful of cases of this rare condition are reported to date. This case has been reported in view of its rarity and unusual clinical presentation.
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Affiliation(s)
- Pooja Gupta
- Department of Pathology, ICMR-National Institute of Pathology, New Delhi, India
| | - Sharma Shruti
- Department of Pathology, ICMR-National Institute of Pathology, New Delhi, India
| | - Fouzia Siraj
- Department of Pathology, ICMR-National Institute of Pathology, New Delhi, India
| | - Aradhana Bhargava
- Apex Regional STD Center, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India
| | - Geeti Khullar
- Department of Dermatology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India
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7
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Pugalia N, Madke B, Jawade S. Multifocal Lupus Vulgaris: A Rare Presentation. Cureus 2023; 15:e40495. [PMID: 37461762 PMCID: PMC10349924 DOI: 10.7759/cureus.40495] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2023] [Accepted: 06/16/2023] [Indexed: 07/20/2023] Open
Abstract
Lupus vulgaris (LV) is a common type of cutaneous tuberculosis and commonly presents as a single erythematous plaque either on the face or buttocks with scarring and an active spreading edge. Multiple lesions of LV are sparingly reported in the literature. We hereby report a case of LV in a male presenting with multiple lesions over the buttock, thigh, and trunk. The diagnosis was done on the basis of clinical findings, histopathology, positive tuberculin test, and response to a standard anti-tubercular regimen.
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Affiliation(s)
- Nidhi Pugalia
- Dermatology, Venereology and Leprosy, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND
| | - Bhushan Madke
- Dermatology, Venereology and Leprosy, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND
| | - Sugat Jawade
- Dermatology, Venereology and Leprosy, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND
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8
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Gallo J, Claasens S, Visser W, Jordaan H, Schneider J, Tod B. Cutaneous tuberculosis (lupus vulgaris-type). IDCases 2022; 27:e01394. [PMID: 35059294 PMCID: PMC8760493 DOI: 10.1016/j.idcr.2022.e01394] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2021] [Revised: 01/07/2022] [Accepted: 01/07/2022] [Indexed: 11/20/2022] Open
Affiliation(s)
- J.C. Gallo
- Division of Dermatology, Department of Medicine, Tygerberg Academic Hospital, and Stellenbosch University, South Africa
- Correspondence to: Division of Dermatology, Department of Medicine, Tygerberg Academic Hospital and Stellenbosch University, Francie Van Zijl Drive, Parow, Cape Town 7500, South Africa.
| | - S. Claasens
- Division of Dermatology, Department of Medicine, Tygerberg Academic Hospital, and Stellenbosch University, South Africa
| | - W.I. Visser
- Division of Dermatology, Department of Medicine, Tygerberg Academic Hospital, and Stellenbosch University, South Africa
| | - H.F. Jordaan
- Division of Dermatology, Department of Medicine, Tygerberg Academic Hospital, and Stellenbosch University, South Africa
| | - J.W. Schneider
- Division of Anatomical Pathology, National Health Laboratory Service, Tygerberg Academic Hospital and Stellenbosch University, South Africa
| | - B. Tod
- Division of Dermatology, Department of Medicine, Tygerberg Academic Hospital, and Stellenbosch University, South Africa
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9
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Kiing JW, Hasnan Najib SFBZ, Muniandy P. Lupus vulgaris on the arm mistaken for keloid. Australas J Dermatol 2021; 63:e103-e105. [DOI: 10.1111/ajd.13766] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2021] [Revised: 11/24/2021] [Accepted: 11/28/2021] [Indexed: 11/28/2022]
Affiliation(s)
- Jiu Wen Kiing
- Dermatology Department Sarawak General Hospital KuchingMalaysia
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10
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Mizuta T, Kato M. Ulcerative Lupus Vulgaris on the Wrist. Case Rep Dermatol 2021; 13:428-431. [PMID: 34594202 PMCID: PMC8436606 DOI: 10.1159/000514942] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2020] [Accepted: 02/02/2021] [Indexed: 11/19/2022] Open
Abstract
We report a case of ulcerative lupus vulgaris (LV) in a unique site, which facilitated the detection of internal organ tuberculosis (TB). A 68-year-old Japanese man presented with a reddish ulcerated painless lesion on his right wrist that had initially appeared 4 weeks earlier as a nontender nodule. There was no recent history of fever, weight loss, or cough. The results of tissue culture, PCR, and contrast-enhanced chest computed tomography were consistent with the diagnosis of ulcerative LV with underlying pulmonary TB and tuberculous lymphadenitis. The patient was started on anti-TB therapy. After 1 month of therapy, epithelialization of the ulcer was noted.
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Affiliation(s)
- Takahiro Mizuta
- Department of Dermatology, Tokyo Metropolitan Tama Medical Center, Fuchu-shi, Tokyo, Japan
| | - Miyuki Kato
- Department of Dermatology, Tokyo Metropolitan Tama Medical Center, Fuchu-shi, Tokyo, Japan
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Abstract
Granulomatous diseases are chronic inflammatory disorders whose pathogenesis is triggered by an array of infectious and noninfectious agents, and may be localized or a manifestation of systemic, disseminated disease. As in the skin, oral manifestations of granulomatous inflammation are often nonspecific in their clinical appearance. Thus, in the absence of overt foreign material or a recognizable infectious agent, identifying the underlying cause of the inflammation can be challenging. This article highlights various conditions known to induce granulomatous inflammation within the oral soft tissues.
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12
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Sirka CS, Rout AN, Kumar P, Purkait S. Lupus vulgaris masquerading as tumorous growth. Indian J Dermatol Venereol Leprol 2021; 87:562-565. [PMID: 33871207 DOI: 10.25259/ijdvl_1008_20] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2020] [Accepted: 11/01/2020] [Indexed: 11/04/2022]
Affiliation(s)
| | | | - Pankaj Kumar
- Department of Surgery AIIMS, Bhubaneswar, Odisha, India
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13
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Arora K, Batra A, Dhanta A, Hazarika N. Lupus vulgaris in a mother and child. BMJ Case Rep 2021; 14:e240591. [PMID: 33753386 PMCID: PMC7986636 DOI: 10.1136/bcr-2020-240591] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/26/2021] [Indexed: 11/04/2022] Open
Affiliation(s)
- Khushboo Arora
- Department of Dermatology, Venereology & Leprosy, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
| | - Anmol Batra
- Department of Dermatology, Venereology & Leprosy, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
| | - Aditi Dhanta
- Department of Dermatology, Venereology & Leprosy, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
| | - Neirita Hazarika
- Department of Dermatology, Venereology & Leprosy, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
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Ankad BS, Adya KA, Gaikwad SS, Inamadar AC, Manjula R. Lupus Vulgaris in Darker Skin: Dermoscopic and Histopathologic Incongruity. Indian Dermatol Online J 2020; 11:948-952. [PMID: 33344345 PMCID: PMC7734991 DOI: 10.4103/idoj.idoj_100_20] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2020] [Revised: 05/19/2020] [Accepted: 08/16/2020] [Indexed: 11/04/2022] Open
Abstract
Introduction Lupus Vulgaris (LV) is the chronic, progressive, tissue destructive form of cutaneous tuberculosis. LV should be diagnosed and treated to prevent scaring and deformities. Histopathology is the gold standard for the diagnosis. Dermoscopy is helpful tool in diagnosing different dermatological condition. Here, dermoscopic and histopathogical correlation in LV was attempted. Materials and Methods It was a cross sectional, observational study done from February 2019 to October 2019. Nineteen patients of LV were included. Dermlite 4 with attached smart phone (iphone) was employed. LV lesions were subjected to skin biopsy to confirm the diagnosis. Results Study enrolled 19 patients, with 8males, 5 female and 6 children. Dermoscopy showed yellowish-white globules, white structureless areas and white scales were noted in 19 (100%) patients. Telangiectasias were seen in 16 (84.21%) patients as long linear, branching and short linear vessels. Pinkish-red background was noted in all patients (100% n=19). Newer observations included white shiny streaks, white rosettes and bluish hue. Age, sex, duration of lesions had no influence in the dermoscopic patterns. Discrepancy in dermoscopic-histopathologic correlation was noted. Facial lesions showed increased frequency of follicular plugs, patulous follicles and white rosettes. Conclusion Dermoscopy is widely gaining importance in the realm of dermatology. In this study, dermoscopy demonstrated characteristic patterns in LV. Thus, dermoscopy a non-invasive procedure can be used as diagnostic tool in many infective dermatoses.
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Affiliation(s)
- Balachandra S Ankad
- Department of Dermatology, S. Nijalingappa Medical College, Bagalkot, Karnataka, India
| | - Keshavmurthy A Adya
- Department of Dermatology, Shri B M Patil Medical College Hospital and Research Centre, BLDE (Deemed to be University), Vijayapur, Karnataka, India
| | - Sakshi S Gaikwad
- Department of Dermatology, S. Nijalingappa Medical College, Bagalkot, Karnataka, India
| | - Arun C Inamadar
- Department of Dermatology, Shri B M Patil Medical College Hospital and Research Centre, BLDE (Deemed to be University), Vijayapur, Karnataka, India
| | - R Manjula
- Department of Community Medicine, S. Nijalingappa Medical College, Bagalkot, Karnataka, India
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Hazarika D, Pawar M. Hyperkeratotic porokeratosis ptychotropica with satellite lesions: a rare presentation of an unusual variant of porokeratosis. ACTA DERMATOVENEROLOGICA ALPINA PANNONICA ET ADRIATICA 2017; 26:113-114. [PMID: 29264903 DOI: 10.15570/actaapa.2017.32] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Since its description in 1995, porokeratosis ptychotropica (PP) has remained a less-recognized variant of porokeratosis (PK). The term porokeratosis ptychotropica was coined in reference to its characteristic of affecting body folds. It mimics many other dermatological diseases and is therefore often misdiagnosed. We report a patient with multiple hyperkeratotic, warty lesions across the buttocks that mimicked cutaneous tuberculosis (CTB), but histological examination confirmed the correct diagnosis of PP.
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Affiliation(s)
- Debeeka Hazarika
- Department of Dermatology, Gauhati Medical College and Hospital, Guwahati, Assam, India
| | - Manoj Pawar
- Department of Dermatology, Dr. Vasantrao Pawar Medical College, Hospital and Research Center, Nashik, Maharashtra, India
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16
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Küster K, Klöckner I, Stolz W, Coras-Stepanek B. [Nonhealing femoral ulcer]. Hautarzt 2017; 68:412-414. [PMID: 28116454 DOI: 10.1007/s00105-016-3931-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Affiliation(s)
- K Küster
- Klinik für Dermatologie, Allergologie und Umweltmedizin, Derma II (vormals Schwabing), Klinik Thalkirchner Straße, Städtisches Klinikum München GmbH, Thalkirchner Str. 48, 80337, München, Deutschland.
| | - I Klöckner
- Klinik für Dermatologie, Allergologie und Umweltmedizin, Derma II (vormals Schwabing), Klinik Thalkirchner Straße, Städtisches Klinikum München GmbH, Thalkirchner Str. 48, 80337, München, Deutschland
| | - W Stolz
- Klinik für Dermatologie, Allergologie und Umweltmedizin, Derma II (vormals Schwabing), Klinik Thalkirchner Straße, Städtisches Klinikum München GmbH, Thalkirchner Str. 48, 80337, München, Deutschland
| | - B Coras-Stepanek
- Klinik für Dermatologie, Allergologie und Umweltmedizin, Derma II (vormals Schwabing), Klinik Thalkirchner Straße, Städtisches Klinikum München GmbH, Thalkirchner Str. 48, 80337, München, Deutschland
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17
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Bhari N, Sahni K, Arava S. Bleeding erythematous papules over nose in a middle-aged man. Int J Dermatol 2016; 56:481-482. [PMID: 27813078 DOI: 10.1111/ijd.13412] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/27/2016] [Revised: 05/12/2016] [Accepted: 06/06/2016] [Indexed: 11/28/2022]
Affiliation(s)
- Neetu Bhari
- Departments of Dermatology and Venereology, All India Institute of Medical Sciences, New Delhi, India
| | - Kanika Sahni
- Departments of Dermatology and Venereology, All India Institute of Medical Sciences, New Delhi, India
| | - Sudheer Arava
- Department of Pathology, All India Institute of Medical Sciences, New Delhi, India
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18
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Bahour A, Sobh E, Elsayed S, Amer W. Chronic oozing skin lesions in children: Possible tuberculosis? Two case reports. Int J Mycobacteriol 2016; 5:219-22. [PMID: 27242235 DOI: 10.1016/j.ijmyco.2015.12.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2015] [Revised: 11/29/2015] [Accepted: 12/09/2015] [Indexed: 11/15/2022] Open
Abstract
Cutaneous tuberculosis is frequently misleading and challenging, as it mimics a wide differential diagnosis. Here, we present two pediatric cases with chronic multiple ulcerating nodules. Proper history, physical examination, and histopathological analysis are included in the workup of suspected skin tuberculosis. Diagnosis was confirmed by positive culture for mycobacteria.
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Affiliation(s)
- Amira Bahour
- Pediatric Diseases Department, Abbassia Chest Hospital, Cairo, Egypt
| | - Eman Sobh
- Chest Diseases Department, Faculty of Medicine for Girls, Al-Azhar University, Cairo, Egypt.
| | - Sahar Elsayed
- Pathology Department, Abbassia Chest Hospital, Cairo, Egypt
| | - Wegdan Amer
- Pediatric Diseases Department, Abbassia Chest Hospital, Cairo, Egypt
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