Molluscum-Like Papules as a Presentation of Early Papulonecrotic Tuberculid in Association with Nodular Tuberculid in a Male with Asymptomatic Active Pulmonary Tuberculosis
| Autor: | Maha T. Dutil, Rachel Asiniwasis, Scott Walsh |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Adult
Male Pathology medicine.medical_specialty Tuberculosis Biopsy Dermatology Asymptomatic Diagnosis Differential Mycobacterium tuberculosis medicine Humans Stage (cooking) Tuberculosis Cutaneous Tuberculosis Pulmonary Skin biology medicine.diagnostic_test business.industry biology.organism_classification medicine.disease medicine.anatomical_structure Abdomen Surgery Differential diagnosis medicine.symptom Papulonecrotic tuberculid business |
| Zdroj: | Journal of Cutaneous Medicine and Surgery. 19:159-162 |
| ISSN: | 1615-7109 1203-4754 |
| Popis: | Background/Objectives The clinical and histopathologic findings of a rare simultaneous occurrence of papulonecrotic tuberculid and nodular tuberclid in a patient with active but asymptomatic pulmonary tuberculosis are presented. Papulonecrotic tuberculid was observed at a very early stage, presenting as molluscum-like lesions. This has been described once in the literature. This was observed in conjunction with lesions compatible with the rare clinicopathologic variant of nodular tuberculid. Critical to the diagnosis of active pulmonary tuberculosis was the use of induced sputum testing, which confirmed the diagnosis despite the lack of a cough and a chest x-ray negative for active tuberculosis. Methods/Results A 40-year-old male presented with a 2-week history of fever and a skin eruption consisting of molluscum-like papules on the ears, arms, and abdomen and nodules on his legs. Biopsies from both lesions were consistent with papulonecrotic and nodular tuberculid, respectively. Despite the lack of any respiratory symptoms, induced sputum grew Mycobacterium tuberculosis, and the lesions resolved on antituberculous therapy. Conclusions and Relevance Tuberculids are rare in Western countries but must be considered in the differential diagnosis of eruptions in patients from endemic countries. An active tuberculous focus must be sought out. |
| Databáze: | OpenAIRE |
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