Cutaneous tuberculosis - Revision history

Aidan: Text replacement - "Clinical Presentation" to "Clinical Manifestations"

2020-07-21T01:21:27Z

Text replacement - "Clinical Presentation" to "Clinical Manifestations"

← Older revision		Revision as of 01:21, 21 July 2020
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	== Clinical ~~Presentation~~ ==		== Clinical Manifestations ==
	=== Primarily cutaneous tuberculosis ===		=== Primarily cutaneous tuberculosis ===
	* Occurs following direct inoculation into skin		* Occurs following direct inoculation into skin

Aidan: /* Lupus miliaris disseminatus faciei */ typo

2019-12-09T14:11:02Z

Lupus miliaris disseminatus faciei: typo

← Older revision		Revision as of 14:11, 9 December 2019
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	==== Lupus miliaris disseminatus faciei ====		==== Lupus miliaris disseminatus faciei ====
	* Rare, related to ~~granuloatmous~~ rosacea		* Rare, related to granulomatous rosacea

	==== Phlyctenular keratoconjunctivitis ====		==== Phlyctenular keratoconjunctivitis ====

Aidan: /* Tuberculid */

2019-12-06T16:59:38Z

Tuberculid

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 === Tuberculid ===
-* Likely a hypersensitivity reaction from previous tuberculosis infection
+* A variety of hypersensitivity reactions to current or previous tuberculosis infection
-** Papulonecrotic tuberculid has recurrent crusted papules on the extensor surfaces, buttocks, and trunk that scar over in about 6 weeks
+* Typically on the extensor surfaces, buttocks, and trunk
 == Further Reading ==

Aidan: /* Clinical Presentation */

2019-12-06T16:49:12Z

Clinical Presentation

← Older revision		Revision as of 16:49, 6 December 2019
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	* Occurs from direct extension of underlying [[tuberculous osteomyelitis]] or [[tuberculous lymphadenitis\|lymphadenitis]]		* Occurs from direct extension of underlying [[tuberculous osteomyelitis]] or [[tuberculous lymphadenitis\|lymphadenitis]]
	* Can heal spontaneously over years, with scarring		* Can heal spontaneously over years, with scarring

			=== Tuberculosis cutis orificialis ===
			* Involvement of oral mucosa in patients with visceral TB and immunosuppression
			* Presents with red or yellow papules that painfully ulcerate

	=== Miliary tuberculosis ===		=== Miliary tuberculosis ===
	* [[Miliary tuberculosis]] can disseminate to skin		* [[Miliary tuberculosis]] can disseminate to skin
	* Typically appears as small red spots that progress into ulcers or abscesses		* Typically appears as small red spots that progress into ulcers or abscesses

			=== Tuberculoma ===
			* Hematogenous metastasis from an old, healed tubercule
			* Most commonly on trunk and extremities
			* Presents as a fluctuant subcutaneous abscess that can fistulize or ulcerate

	=== Tuberculid ===		=== Tuberculid ===
	* Likely a hypersensitivity reaction from previous tuberculosis infection		* Likely a hypersensitivity reaction from previous tuberculosis infection
	* Presents as a generalized exanthem in healthy patients with no active disease but previous infection		* Presents as a generalized exanthem in healthy patients with no active disease but previous infection
	* Subtypes include		* Subtypes include
	** Erythema induratum occurs mostly in women, with nodules on the back of legs that can ulcerate		** Erythema induratum occurs mostly in women, with nodules on the back of legs that can ulcerate
	** Papulonecrotic tuberculid has recurrent crusted papules on the extensor surfaces, buttocks, and trunk that scar over in about 6 weeks		** Papulonecrotic tuberculid has recurrent crusted papules on the extensor surfaces, buttocks, and trunk that scar over in about 6 weeks

Aidan: Created page with "== Clinical Presentation == === Primarily cutaneous tuberculosis === * Occurs following direct inoculation into skin * Most commonly on face, hands, or feet * Inflammatory pap..."

2019-12-06T16:41:28Z

Created page with "== Clinical Presentation == === Primarily cutaneous tuberculosis === * Occurs following direct inoculation into skin * Most commonly on face, hands, or feet * Inflammatory pap..."

New page

== Clinical Presentation ==
=== Primarily cutaneous tuberculosis ===
* Occurs following direct inoculation into skin
* Most commonly on face, hands, or feet
* Inflammatory papule that ulcerates, with regional lymphadenopathy and eventual scarring

=== Tuberculous verrucosa cutis ===
* Occurs following traumatic inoculation into skin of a TB-sensitized person
* Appears as a purple to brownish-red wart
* Most common on the knees, elbows, hands, feet, and backside
* Can spontaneously resolve over years

=== Lupus vulgaris ===
* Progressive disease characterized by small, well-defined brownish-red nodules
** Described as "apple-jelly" nodules

=== Scrofuloderma ===
* Occurs from direct extension of underlying [[tuberculous osteomyelitis]] or [[tuberculous lymphadenitis|lymphadenitis]]
* Can heal spontaneously over years, with scarring

=== Miliary tuberculosis ===
* [[Miliary tuberculosis]] can disseminate to skin
* Typically appears as small red spots that progress into ulcers or abscesses

=== Tuberculid ===
* Likely a hypersensitivity reaction from previous tuberculosis infection
* Presents as a generalized exanthem in healthy patients with no active disease but previous infection
* Subtypes include
** Erythema induratum occurs mostly in women, with nodules on the back of legs that can ulcerate
** Papulonecrotic tuberculid has recurrent crusted papules on the extensor surfaces, buttocks, and trunk that scar over in about 6 weeks
** Lichen scrofulosorum has small follicular papules with underlying active disease

== Further Reading ==
* Cutaneous Manifestation of Tuberculosis. ''Infect Dis Clin Practice''. 2012;20(6):376-383. doi: [https://doi.org/10.1097/IPC.0b013e31826412e1 10.1097/IPC.0b013e31826412e1]

[[Category:Tuberculosis]]
[[Category:Skin and soft tissue infections]]