scholarly journals Pattern of cutaneous tuberculosis among children and adolescent

2013 ◽  
Vol 38 (3) ◽  
pp. 94-97 ◽  
Author(s):  
A Sultana ◽  
MSI Bhuiyan ◽  
A Haque ◽  
A Bashar ◽  
MT Islam ◽  
...  
Keyword(s):  
Lower Limb ◽  
Diagnostic Tools ◽  
High Likelihood ◽  
Common Site ◽  
Lupus Vulgaris ◽  
Children And Adolescent ◽  
Cutaneous Tuberculosis ◽  
Tuberculin Reaction ◽  
Skin Tuberculosis ◽  
Tuberculosis In Children

Cutaneous tuberculosis is one of the most subtle and difficult diagnoses for dermatologists practicing in developing countries. It has widely varied manifestations and it is important to know the spectrum of manifestations in children and adolescent. Sixty cases (age<19 years) of cutaneous tuberculosis were included in this one period study. The diagnosis was based on clinical examination, tuberculin reaction, histopathology, and response to antitubercular therapy. Histopahology revealed 38.3% had skin tuberculosis and 61.7% had diseases other than tuberculosis. Among 23 histopathologically proved cutaneous tuberculosis, 47.8% had scrofuloderma, 34.8% had lupus vulgaris and 17.4% had tuberculosis verrucosa cutis (TVC). Most common site for scrofuloderma lesions was neck and that for lupus vulgaris and TVC was lower limb. Cutaneous tuberculosis in children continues to be an important cause of morbidity, there is a high likelihood of internal involvement, especially in patients with scrofuloderma. A search is required for more sensitive, economic diagnostic tools. DOI: http://dx.doi.org/10.3329/bmrcb.v38i3.14335 Bangladesh Med Res Counc Bull 2012; 38(3): 94-97 (December)

scholarly journals Clinico-epidemiological profile of childhood cutaneous tuberculosis

2016 ◽  
Vol 13 (1) ◽  
pp. 45-51
Author(s):  
Sanju Babu Shrestha ◽  
G P Pokhrel ◽  
S B Pradhan
Keyword(s):  
Pulmonary Tuberculosis ◽  
Teaching Hospital ◽  
Pediatric Population ◽  
Lupus Vulgaris ◽  
Extra Pulmonary Tuberculosis ◽  
Systemic Involvement ◽  
Cutaneous Tuberculosis ◽  
Medical College ◽  
Skin Tuberculosis ◽  
Epidemiological Profile

Introduction: Although cutaneous tuberculosis constitutes a small percentage of extra pulmonary tuberculosis, it has not been fully documented in Nepal and more so in the pediatric population.  Objectives: The aim of the study was to assess the epidemiology and clinical profile of childhood cutaneous tuberculosis at Kathmandu Medical College and Teaching Hospital, Nepal. Material and Methods: Children (below 15 years of age) with cutanesous tuberculosis who attended the teaching hospital between April 2008 and March 2014 were studied. Results: A total of 17 children with skin tuberculosis were identified during the study period, which constituted 34% of all patients with skin tuberculosis. There were 11 boys and 6 girls with a mean age of 8.8 years. The duration of the lesions ranged from 1 month to 4 years and 13 (76.5%) were brought for medical help after six months of onset of the disease. Lower limb was the most common site of involvement. Of the various patterns of cutaneous tuberculosis; scrofuloderma was the most common 7 (41.2%) followed by lupus vulgaris 6 (35.3%), erythema nodosum 2 (11.7%) and gumma 1 (5.8%). Combination of lupus vulgaris and scrofuloderma was noted in one patient. Three patients (17.6%) had internal organ involvement as pulmonary tuberculosis. Conclusion: The pattern of skin tuberculosis had wide variation with a few of them having systemic involvement. Therefore, these patients need a thorough evaluation or an uniform standard therapeutic regimen to cover both internal organ and cutaneous tuberculosis.NJDVL Vol. 13, No. 1, 2015 Page: 45-51

scholarly journals Disseminated Cutaneous Tuberculosis like Fungal Sporotrichosis Successfully Treated With Terbinafine: A Rare Case Report

2021 ◽  
Vol 1 (1) ◽  
pp. 69-72
Author(s):  
Anil Gautam ◽  
Bijay Subedi ◽  
Janak Awasthi ◽  
Suman Adhikari
Keyword(s):  
Case Report ◽  
Cutaneous Leishmaniasis ◽  
Adult Male ◽  
Rare Case ◽  
Lupus Vulgaris ◽  
Diagnostic Dilemma ◽  
Cutaneous Tuberculosis ◽  
Rare Case Report ◽  
Old Adult ◽  
Skin Tuberculosis

Occurrence of Sporotrichosis is uncommon in Nepal. Here, we describe a case of cutaneous Sporotrichosis of 43 years old adult male working as a farmer from Pokhara-30, Nepal with unusual skin tuberculosis like presentation since 3 years, initiating from the unusual location in right pinna. Histopathological observation was suggestive of cutaneous tuberculosis, lupus vulgaris, cutaneous leishmaniasis due to overlapping findings during biopsy. The case was diagnosed by the pharma­cological intervention observing the effect of drugs i.e., terbinafine. The purpose of reporting this serendipitous case is to enhance timely diagnosis, avoid the diagnostic dilemma for future references.

Understanding cutaneous tuberculosis in children

2016 ◽  
Vol 56 (2) ◽  
pp. 242-244
Author(s):  
Vishal Gupta ◽  
V. Ramesh
Keyword(s):  
Cutaneous Tuberculosis ◽  
Tuberculosis In Children

scholarly journals Lupus Vulgaris: A Rare Case of Cutaneous Tuberculosis

2014 ◽  
Vol 41 (2) ◽  
pp. 57-58
Author(s):  
MA Chowdhury ◽  
TK Sikdar
Keyword(s):  
Medical Journal ◽  
Rare Case ◽  
Giant Cells ◽  
Multinucleated Giant Cells ◽  
Lupus Vulgaris ◽  
Cutaneous Tuberculosis ◽  
Histological Sections ◽  
Epithelioid Granuloma ◽  
Affected Tissue ◽  
Anti Tubercular Therapy

Lupus vulgaris is an extremely chronic, progressive form of cutaneous tuberculosis. The earliest description of lupus vulgaris was given by Erasmus Wilson in 1865. It usually occurs through contagious extension of the disease from underlying affected tissue or hematogenous or lymphatic spread. A 55 years male, non diabetic, non hypertensive, non smoker, got himself admitted into Dermatology and Venereology Department of DMCH with the complaints of multiple ulcerated lesions over the left lower thigh and upper leg including knee for 8 years. Histological sections of skin revealed multiple epithelioid granuloma, multinucleated giant cells and infiltration of lymphocytes with areas of fibrosis and ESR was 80 in 1st hour. The patient was treated with anti tubercular therapy and cured completely. DOI: http://dx.doi.org/10.3329/bmj.v41i2.18811 Bangladesh Medical Journal 2012 Vol. 41 No. 2: 57-58

scholarly journals Lupus vulgaris mimicking cutaneous leishmaniasis: A case report

2022 ◽  
Vol 13 (1) ◽  
pp. 53-56
Author(s):  
Nouf Faihan Bin Rubaian ◽  
Haya Fahad Alzamami ◽  
Gadah Abdulatif Alhosawi ◽  
Leena Abdulrahman Almuhaish
Keyword(s):  
Delayed Diagnosis ◽  
Punch Biopsy ◽  
Lupus Vulgaris ◽  
Cutaneous Tuberculosis ◽  
Dorsal Aspect ◽  
Skin Punch Biopsy ◽  
Diagnostic Difficulties ◽  
Anti Tubercular Therapy ◽  
The Right ◽  
Saudi Male

Lupus vulgaris (LV) is a progressive, chronic form of cutaneous tuberculosis (CTB). The head and neck regions are the most commonly affected sites, followed by the arms and legs. Occurring in unusual sites may pose diagnostic difficulties. Herein, we report a case of LV present on the dorsal aspect of the right hand in a twenty-year-old Saudi male. It was misdiagnosed as leishmaniasis as the patient lived in an area in which it was endemic, and was treated accordingly with no benefit. A skin punch biopsy was taken and the diagnosis of LV was confirmed. The lesion responded well to anti-tubercular therapy (ATT), yet healed with atrophic scarring. Although rare, clinicians must be aware of the importance of considering CTB as an important differential, as misdiagnosis or delayed diagnosis of this entity may eventually cause prolonged morbidity.

scholarly journals Study of common clinical types of cutaneous tuberculosis: two years study experience in a tertiary care centre

2020 ◽  
Vol 6 (2) ◽  
pp. 199
Author(s):  
Raghu M. T. ◽  
Ashwini S. ◽  
Yogendra M. ◽  
Virupakshappa H. E. ◽  
Gangaraju Harish ◽  
...  
Keyword(s):  
Tertiary Care ◽  
Age Group ◽  
Lupus Vulgaris ◽  
Tertiary Care Centre ◽  
Cutaneous Tuberculosis ◽  
Medical College ◽  
Plaque Type ◽  
Study Experience ◽  
The Common ◽  
Work Up

<p class="abstract"><strong>Background:</strong> Cutaneous tuberculosis (TB) is frequently found worldwide, especially in tropical countries. The number of extrapulmonary TB reaches up to 14%, and 1% to 2% are cutaneous TB. Diagnosis of cutaneous tuberculosis (CTB) is complicated and requires a full work-up. Clinical manifestation of cutaneous TB is varied and causes difficulties to diagnose. Scrofuloderma and plaque type of lupus vulgaris (LV) are common forms of cutaneous TB.</p><p class="abstract"><strong>Methods:</strong> A retrospective study was conducted on patients attending Department of Dermatology, Venereology and Leprosy, at Basaveshwara Medical College and Hospital, Chitradurga over a period of 2 years. A total of 15 cases of cutaneous tuberculosis were diagnosed.</p><p class="abstract"><strong>Results:</strong> A total of 15 cases out of which included predominantly males, with age group being affected commonly are 20-40 decades, histopathology showing tuberculoid granuloma in 11 cases, and common clinical variant being lupus vulgaris seen in 66.6% of the cases and. Second common being scrufuloderma seen in 26.6% of the cases and least common is TB verrucosa cutis (TBVC) seen in 6.6% of the cases.</p><p class="abstract"><strong>Conclusions:</strong> The study showed that the common clinical type of cutaneous tuberculosis during the study period was lupus vulgaris, scrofuloderma and less common being TBVC.</p>

scholarly journals Borderline tuberculoid leprosy, lupus vulgaris and pulmonary tuberculosis: A rare association

2019 ◽  
Vol 9 (1) ◽  
pp. 1505-1507
Author(s):  
Palzum Sherpa ◽  
Amit Amatya ◽  
Trishna Kakshapati
Keyword(s):  
Pulmonary Tuberculosis ◽  
Extrapulmonary Tuberculosis ◽  
Granulomatous Inflammation ◽  
Simultaneous Occurrence ◽  
Lupus Vulgaris ◽  
Posterior Aspect ◽  
Mycobacterial Infections ◽  
Cutaneous Tuberculosis ◽  
First Case ◽  
Tuberculoid Leprosy

Tuberculosis and leprosy are chronic mycobacterial infections that elicit granulomatous inflammation. The incidence of co-existence of pulmonary tuberculosis and leprosy has ranged from 2.5%-13.4%.1 Cutaneous tuberculosis is a variant of extrapulmonary tuberculosis and its  simultaneous occurrence with leprosy is uncommon. The concomitant presence of leprosy, pulmonary as well as cutaneous tuberculosis is rare. We report a case of borderline tuberculoid leprosy, lupus vulgaris and pulmonary tuberculosis in a 45 years male who presented to the dermatology outpatient department with three morphologically distinct skin lesions over the posterior aspect of right leg. Ours is presumably the first case reported from Nepal, a country where both of these mycobacterial infections are endemic.

scholarly journals Lower limb amputations in Southern Finland 1984-1985

1988 ◽  
Vol 12 (1) ◽  
pp. 9-18 ◽  
Author(s):  
T. Pohjolainen ◽  
H. Alaranta
Keyword(s):  
Lower Limb ◽  
Age Groups ◽  
Lower Limbs ◽  
Amputation Rate ◽  
Common Site ◽  
Finnish Population ◽  
Elderly Age ◽  
Epidemiological Situation ◽  
Made In ◽  
Overall Mortality

To assess the current epidemiological situation concerning lower limb amputations in southern Finland the data on all amputations made in the catchment area of the Helsinki University Central Hospital were analysed for the period 1984-85. During the two-year period, 880 amputations of lower limbs were performed on 705 patients. The amputation rate was 32.5 per 100,000 inhabitants in 1984 and 28.1 in 1985. Patients requiring amputation were arteriosclerotics in 43.1 per cent, and diabetics in 40.7 per cent. Diabetics underwent amputation 3 years younger on average than the arteriosclerotics. The most common site of unilateral amputations was above-knee (42.0 per cent) followed by below-knee (27.7 per cent) and toe amputations (22.2 per cent). The level of amputation tended to become more proximal with increasing age of the patients. The overall mortality figure during three postoperative months was 27.0 per cent. Amputation incidence increased sharply with increasing age. On the base of predictions, the overall age structure of the Finnish population will shift upward causing an increase in the proportion of elderly age groups. A 50% increase in amputation rate is expected in Finland within the next 20-30 years.

scholarly journals Study of Determinant Profiles of Cutaneous Tuberculosis in Bangladesh

2013 ◽  
Vol 1 (1) ◽  
pp. 3-7
Author(s):  
Muhammad Hasibur Rahman ◽  
Nazma Parvin Ansari ◽  
Khondoker Golam Sabbir Ahmed ◽  
Md Hadiuzzaman ◽  
Nahida Islam Nipa ◽  
...  
Keyword(s):  
Young Patients ◽  
Mantoux Test ◽  
Community Based ◽  
Cutaneous Tuberculosis ◽  
Economic Class ◽  
Medical College ◽  
Negative Results ◽  
Abnormal Chest ◽  
Skin Tuberculosis ◽  
Generalized Lymphadenopathy

The determinant spectra coupled with laboratory parameters of cutaneous tuberculosis in patients attending the Department of Dermatology and VD of the Community Based Medical College, Mymensingh, Bangladesh were studied for a period of over four years. A total of 110 patients (males, 75 and females, 35) having ages between 1 to 60 years were detected to infected. The result evidenced that skin tuberculosis is becoming mostly a disease of young patients between the ages of 16 to 30 years (44.55 %). There was a trend of appearance of Lupus vulgaris as the most common variant (49.09%) followed by Tuberculosis verrucosa cutis (29.09%). Skin tuberculosis was found more frequently in males than females (ratio 15: 7) and all patients belonged to lower socio-economic class. In 64 cases (58.18%) BCG vaccination coverage could not yield protection against cutaneous tuberculosis. Abnormal chest x-ray reports were available in 12 patients. It is interesting to note that enlargement of hilar lymph nodes, pleural effusion, ascites and generalized lymphadenopathy were not detected. Mantoux test revealed positive reactors in 100 patients (90.90%). Raised ESR (>20) was found in all patients. The validity of histopathology associated with FNAC was confirmed in 95 cases of patients (86.36%). There was evidence of Scrofuloderma in 20 patients and ICT indicated 74 positive cases. Bacteriological examination generated negative results in all cases. The response to antitubercular therapy was excellent except in 3 cases which required further monitoring of using additional drug and took much more time. The coexistence of pulmonary tuberculosis was determined in 2 patients.DOI: http://dx.doi.org/10.3329/cbmj.v1i1.13817 Community Based Medical Journal Vol.1(1) 2012 3-7

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