Lichen Scrofulosorum. A 9-year-old boy presented with asymptomatic, skin colored, grouped papules with mild scaling on elbows, buttocks, knees, and dorsa of. Lichen scrofulosorum is a tuberculid that is usually seen in children or young adults. Although a rare occurrence, this tuberculid is an important marker of occult. In lichen scrofulosorum there is a superficial inflammatory reaction about hair follicles and sweat ducts which may include tuberculoid granulomas. Acid-fast.

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There was no history of fever, cough, anorexia, weight loss, or any other systemic symptoms.

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The lesions were mildly itchy. Actinomycetaceae Actinomyces israelii Actinomycosis Cutaneous actinomycosis Tropheryma whipplei Whipple’s disease Arcanobacterium haemolyticum Arcanobacterium haemolyticum infection Actinomyces gerencseriae.

Nil Conflict of Scrofulosorun He had no past or family history of TB. Corynebacterium diphtheriae Diphtheria Corynebacterium minutissimum Erythrasma Corynebacterium jeikeium Group JK corynebacterium sepsis. In a study of 39 cases of LS by Singhal et al. New Sydenham Society; Diagnosis of these lesions can be difficult, as they resemble many other dermatological conditions that are often primarily considered.

We report a case of year-old male who presented to us with multiple small erythematous to scrofulosoum, mostly perifollicular papules over forearms [ Figure 1 ], dorsum of hands [ Figure 2 ], shoulders, forehead [ Figure 3 ] and scapular region since 15 days. This confirmed the scrfoulosorum of LS. A prospective study of 39 patients. Examination of hair, nails and mucosal surfaces was normal.


Conditions in this group include: Development of a polymerase chain reaction dot-blotting system for detecting cutaneous tuberculosis. Views Read Edit View history.

Lichen scrofulosorum: A diagnosis overlooked

Author information Copyright and License information Disclaimer. Initially, the patient was treated as a case of miliaria scofulosorum given calamine lotion; however, when there was no improvement after 1 week, other differentials like LS, keratosis pilaris, lichen spinulosis, lichen nitidus, and secondary syphilis were considered.

Retrieved from ” https: The eruption is usually associated with a strongly positive tuberculin reaction. Sign in to access your subscriptions Sign in to your personal account.

The mother first noticed the lesions on the.

Support Center Support Center. Get free access to newly published articles Create a personal account or sign in to: Lichen scrofulosorum was first recognized and described by Hebra 1 in Patient was started on CAT I antitubercular therapy ATT with four drugs rifampicin, isoniazid, ethambutol and pyrazinamide for the first two months, followed by rifampicin srofulosorum isoniazid scrofuloslrum six months.

CASE REPORT We report a case of year-old male who presented to us with multiple small erythematous to skin-colored, mostly perifollicular papules over forearms [ Figure 1 ], dorsum of hands [ Figure 2 ], shoulders, forehead [ Figure 3 ] and scapular region since 15 days. This article has been cited by other articles in PMC. Purchase access Subscribe now. Tuberculids are a group of skin conditions associated with an underlying or silent focus of TB. Footnotes Source of Support: However, it should be considered scrofulosirum patients presenting with persistent papular lesions not responding to other therapies.


Lichen scrofulosorum LS also known as tuberculosis TB cutis lichenoides, is a rare tuberculid that presents as a lichenoid eruption of minute papules in children and adolescents with TB. Histology shows non-caseating, epithelioid cell granulomas in upper dermis and around dermal appendages. National Center for Biotechnology InformationU. D Scrofulosorm – Actinobacteria primarily A00—A79—, — Create a free personal account to download free article PDFs, sign up for alerts, and more.

Kaposi 2 was the first to describe lichen scrofulosorum histologically. Lidhen ray chest was done which was normal; USG abdomen was also insignificant; and Mantoux test was strongly positive [ Figure 4 ] with 18 mm lichdn, which pointed toward an active tubercular process.

Lichen scrofulosorum: A diagnosis overlooked

The differential diagnosis may include lichen spinulosus, lichen nitidus, keratosis pilaris, pityriasis rubra pilaris, and lichenoid sarcoidosis. Sign in to customize your interests Sign in to your personal account. Purchase access Subscribe to the journal.

Lichn highlights its rarity and significance as an important marker of undetected tuberculosis. Systemic examination of the respiratory, cardiovascular, abdominal and central nervous systems did not reveal any abnormalities.