Ann Dermatol.  1995 Jul;7(3):278-281. 10.5021/ad.1995.7.3.278.

A Case of Papulonecrotic Tuberculid Combined with Erythema Nodosum

Abstract

We report an extremely rare case in which two tuberculids, papulonecrotic tuberculid and erythema nodosum, occurred together. A 16-year-old girl had two types of clinically distinct lesions; asymptomatic necrotic papules on the upper and lower extremities and painful subcutaneous nodules on the legs. A Mantoux test showed a strong positive reaction. Histopathologic findings of the necrotic papule and subcutaneous nodule were consistent with papulonecrotic tuberculid and erythema nodosum, respectively. There was no extracutaneous focus of tuberculosis. Polymerase chain reaction for tuberculous bacilli in the papulonecrotic tuberculid lesion revealed a negative result. Antituberculous therapy brought a rapid clinical improvement of both lesions.

Keyword

Erythema nodosum; Papulonecrotic tuberculid; Polymerase chain reaction; Treatment

MeSH Terms

Adolescent
Erythema Nodosum*
Erythema*
Female
Humans
Leg
Lower Extremity
Polymerase Chain Reaction
Tuberculosis
Tuberculosis, Cutaneous*

Cited by  1 articles

Multiple Skin Colored Nodules on both Legs in Patient with Positive QuantiFERON®-TB Gold Test
Mi Soo Choi, Seung Phil Hong, Byung Cheol Park, Myung Hwa Kim
Ann Dermatol. 2017;29(1):95-99.    doi: 10.5021/ad.2017.29.1.95.

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