Lichen Scrofulosorum Mimicking Lichen Planus
Lichen scrofulosorum is the most uncommon clinicopathologic variant of the tuberculids. Usually, the eruption appears in children and adolescents with strong immune sensitivity to Mycobacterium tuberculosis and consists of tiny follicular papules, closely resembling lichen nitidus. We report a case...
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| Veröffentlicht in: | The American journal of dermatopathology 2011-04, Vol.33 (2), p.186-191 |
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| container_end_page | 191 |
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| container_title | The American journal of dermatopathology |
| container_volume | 33 |
| creator | CAMACHO, Diana PIELASINSKI, Ursula REVELLES, Juan María GORGOLAS, Miguel MANZARBEITIA, Félix KUTZNER, Heinz REQUENA, Luis |
| description | Lichen scrofulosorum is the most uncommon clinicopathologic variant of the tuberculids. Usually, the eruption appears in children and adolescents with strong immune sensitivity to Mycobacterium tuberculosis and consists of tiny follicular papules, closely resembling lichen nitidus. We report a case of lichen scrofulosorum in an adult male with active cervical scrofuloderma who developed lesions of lichen scrofulosorum mimicking clinically lichen planus. Histopathologic study demonstrated granulomas around the hair follicles, although acid-fast bacilli stains, immunohistochemical stain for mycobacteria, polymerase chain reaction investigations and cultures failed to demonstrate Mycobacterium tuberculosis in the cutaneous lesions. The most striking features of the reported case were the onset of the eruption in an adult patient and the clinical appearance of the lesions, resembling lichen planus. |
| doi_str_mv | 10.1097/DAD.0b013e3181da96aa |
| format | Article |
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Usually, the eruption appears in children and adolescents with strong immune sensitivity to Mycobacterium tuberculosis and consists of tiny follicular papules, closely resembling lichen nitidus. We report a case of lichen scrofulosorum in an adult male with active cervical scrofuloderma who developed lesions of lichen scrofulosorum mimicking clinically lichen planus. Histopathologic study demonstrated granulomas around the hair follicles, although acid-fast bacilli stains, immunohistochemical stain for mycobacteria, polymerase chain reaction investigations and cultures failed to demonstrate Mycobacterium tuberculosis in the cutaneous lesions. 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Usually, the eruption appears in children and adolescents with strong immune sensitivity to Mycobacterium tuberculosis and consists of tiny follicular papules, closely resembling lichen nitidus. We report a case of lichen scrofulosorum in an adult male with active cervical scrofuloderma who developed lesions of lichen scrofulosorum mimicking clinically lichen planus. Histopathologic study demonstrated granulomas around the hair follicles, although acid-fast bacilli stains, immunohistochemical stain for mycobacteria, polymerase chain reaction investigations and cultures failed to demonstrate Mycobacterium tuberculosis in the cutaneous lesions. The most striking features of the reported case were the onset of the eruption in an adult patient and the clinical appearance of the lesions, resembling lichen planus.</description><subject>Aged</subject><subject>Antitubercular Agents - therapeutic use</subject><subject>Bacterial diseases</subject><subject>Biological and medical sciences</subject><subject>Dermatology</subject><subject>Diagnosis, Differential</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Lichen Planus - pathology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Psoriasis. Parapsoriasis. Lichen</subject><subject>Skin - microbiology</subject><subject>Skin - pathology</subject><subject>Tuberculosis and atypical mycobacterial infections</subject><subject>Tuberculosis, Cutaneous - drug therapy</subject><subject>Tuberculosis, Cutaneous - pathology</subject><issn>0193-1091</issn><issn>1533-0311</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkEtPwzAQhC0EouXxDxDqBXEhZdebh32sWl5SEUjAOdo6NgSSpsTNgX-PqwaQOK1W-83saIQ4QRgj6OxyNpmNYQFIllBhwTpl3hFDTIgiIMRdMQTUFAUYB-LA-3cAlAqSfTGQkCFCSkNxMS_Nm12OnkzbuK5qfNN29ei-rEvzUS5fR_35seJl54_EnuPK2-N-HoqX66vn6W00f7i5m07mkSFK11GaxSFQ4QyhRiBNm5iKwypBL7I4A-McJVJSwcDOxMQpKQaTSpUoLuhQnG99V23z2Vm_zuvSG1uFELbpfK6STGoZxzqQ8ZYM8b1vrctXbVlz-5Uj5Jua8lBT_r-mIDvtH3SL2ha_op9eAnDWA-wNV67lpSn9H0daBbeEvgHMcW-H</recordid><startdate>20110401</startdate><enddate>20110401</enddate><creator>CAMACHO, Diana</creator><creator>PIELASINSKI, Ursula</creator><creator>REVELLES, Juan María</creator><creator>GORGOLAS, Miguel</creator><creator>MANZARBEITIA, Félix</creator><creator>KUTZNER, Heinz</creator><creator>REQUENA, Luis</creator><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20110401</creationdate><title>Lichen Scrofulosorum Mimicking Lichen Planus</title><author>CAMACHO, Diana ; PIELASINSKI, Ursula ; REVELLES, Juan María ; GORGOLAS, Miguel ; MANZARBEITIA, Félix ; KUTZNER, Heinz ; REQUENA, Luis</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c336t-67481ddfc319103930b018ac31209b7470cff35223da0afc43a638a0c62858ad3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Aged</topic><topic>Antitubercular Agents - therapeutic use</topic><topic>Bacterial diseases</topic><topic>Biological and medical sciences</topic><topic>Dermatology</topic><topic>Diagnosis, Differential</topic><topic>Human bacterial diseases</topic><topic>Humans</topic><topic>Infectious diseases</topic><topic>Lichen Planus - pathology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Psoriasis. Parapsoriasis. Lichen</topic><topic>Skin - microbiology</topic><topic>Skin - pathology</topic><topic>Tuberculosis and atypical mycobacterial infections</topic><topic>Tuberculosis, Cutaneous - drug therapy</topic><topic>Tuberculosis, Cutaneous - pathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>CAMACHO, Diana</creatorcontrib><creatorcontrib>PIELASINSKI, Ursula</creatorcontrib><creatorcontrib>REVELLES, Juan María</creatorcontrib><creatorcontrib>GORGOLAS, Miguel</creatorcontrib><creatorcontrib>MANZARBEITIA, Félix</creatorcontrib><creatorcontrib>KUTZNER, Heinz</creatorcontrib><creatorcontrib>REQUENA, Luis</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of dermatopathology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>CAMACHO, Diana</au><au>PIELASINSKI, Ursula</au><au>REVELLES, Juan María</au><au>GORGOLAS, Miguel</au><au>MANZARBEITIA, Félix</au><au>KUTZNER, Heinz</au><au>REQUENA, Luis</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Lichen Scrofulosorum Mimicking Lichen Planus</atitle><jtitle>The American journal of dermatopathology</jtitle><addtitle>Am J Dermatopathol</addtitle><date>2011-04-01</date><risdate>2011</risdate><volume>33</volume><issue>2</issue><spage>186</spage><epage>191</epage><pages>186-191</pages><issn>0193-1091</issn><eissn>1533-0311</eissn><coden>AJODDB</coden><abstract>Lichen scrofulosorum is the most uncommon clinicopathologic variant of the tuberculids. Usually, the eruption appears in children and adolescents with strong immune sensitivity to Mycobacterium tuberculosis and consists of tiny follicular papules, closely resembling lichen nitidus. We report a case of lichen scrofulosorum in an adult male with active cervical scrofuloderma who developed lesions of lichen scrofulosorum mimicking clinically lichen planus. Histopathologic study demonstrated granulomas around the hair follicles, although acid-fast bacilli stains, immunohistochemical stain for mycobacteria, polymerase chain reaction investigations and cultures failed to demonstrate Mycobacterium tuberculosis in the cutaneous lesions. The most striking features of the reported case were the onset of the eruption in an adult patient and the clinical appearance of the lesions, resembling lichen planus.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins</pub><pmid>20711063</pmid><doi>10.1097/DAD.0b013e3181da96aa</doi><tpages>6</tpages></addata></record> |
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| identifier | ISSN: 0193-1091 |
| ispartof | The American journal of dermatopathology, 2011-04, Vol.33 (2), p.186-191 |
| issn | 0193-1091 1533-0311 |
| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Aged Antitubercular Agents - therapeutic use Bacterial diseases Biological and medical sciences Dermatology Diagnosis, Differential Human bacterial diseases Humans Infectious diseases Lichen Planus - pathology Male Medical sciences Psoriasis. Parapsoriasis. Lichen Skin - microbiology Skin - pathology Tuberculosis and atypical mycobacterial infections Tuberculosis, Cutaneous - drug therapy Tuberculosis, Cutaneous - pathology |
| title | Lichen Scrofulosorum Mimicking Lichen Planus |
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