Rapidly developing giant sized lupus vulgaris on the chest associated with bilateral scrofuloderma on the neck

ALİAĞAOĞLU C., Atasoy M., KARAKUZU A., ÇAYIR K., Melikoglu M.

JOURNAL OF DERMATOLOGY, cilt.33, sa.7, ss.481-485, 2006 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 33 Sayı: 7
  • Basım Tarihi: 2006
  • Doi Numarası: 10.1111/j.1346-8138.2006.00113.x
  • Dergi Adı: JOURNAL OF DERMATOLOGY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.481-485
  • Anahtar Kelimeler: lupus vulgaris, scrofuloderma, CUTANEOUS TUBERCULOSIS, VACCINATION
  • Atatürk Üniversitesi Adresli: Evet

Özet

Lupus vulgaris and scrofuloderma are the opposite poles of cutaneous tuberculosis. Lupus vulgaris of a giant size and scrofuloderma in the vicinity of this lesion were both present in a 70-year-old female patient. The purified protein derivative of tuberculin (PPD) skin test was strongly positive. In histopathological examination, granulomatous infiltration without caseation necrosis was seen in the dermis. The patient was treated with a four-drug therapy consisting of pyrazinamide (25 mg/kg), isoniazid (5 mg/kg), rifampin (10 mg/kg) and ethambutol (15 mg/kg) daily for 2 months, followed by dual therapy with isoniazid and rifampin for 6 months. Her cutaneous lesions significantly regressed after 4 months, leaving keloid scars.