Korean J Dermatol.  2007 Mar;45(3):279-282.

A Case of Scrofuloderma with Cervical Lymphadenitis

• Cho EA
• Kim SY

Abstract

Scrofuloderma results from contiguous extension of an underlying tuberculous focus secondary to local tissue breakdown. The underlying focus may be a tuberculous bone or joint or even epididymis, but it occurs most commonly over a lymph node, particularly the cervical lymph node. A 29-year-old man presented with a tender, erythematous, linear, fluctuating plaque and nodules on the right side of his neck. He had pulmonary and intestinal tuberculosis. A biopsy specimen from the skin lesion showed caseation necrosis surrounded by granulomatous infiltration, composed of epithelioid cells, mononuclear cells and Langhans' giant cells in the dermis. Acid-fast bacilli were identified on AFB staining. Herein, we report a typical case of scrofuloderma associated with cervical lymphadenitis.

Keyword

Cervical lymphadenitis; Scrofuloderma

MeSH Terms

Adult
Biopsy
Dermis
Epididymis
Epithelioid Cells
Giant Cells
Humans
Joints
Lymph Nodes
Lymphadenitis*
Male
Neck
Necrosis
Skin
Tuberculosis
Tuberculosis, Cutaneous*