Original article | Volume 32, Article 81, 18 Feb 2019 | 10.11604/pamj.2019.32.81.18206

Cutaneous tuberculosis with an unusual appearance and location

Sqalli Houssaini Asmaa, Badreddine Hassam

Corresponding author: Sqalli Houssaini Asmaa, Dermatology and Venerology Department, Hospital IBN SINA, Faculty of Médicine and Pharmacy, Mohammed V University, Rabat, Morocco

Received: 19 Jan 2019 - Accepted: 27 Jan 2019 - Published: 18 Feb 2019

Domain: Dermatology

Keywords: Tuberculosis, cutaneous tuberculosis, gums

©Sqalli Houssaini Asmaa et al. Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Cite this article: Sqalli Houssaini Asmaa et al. Cutaneous tuberculosis with an unusual appearance and location. Pan African Medical Journal. 2019;32:81. [doi: 10.11604/pamj.2019.32.81.18206]

Available online at: https://www.panafrican-med-journal.com/content/article/32/81/full

Home | Volume 32 | Article number 81

Original article

Cutaneous tuberculosis with an unusual appearance and location

Cutaneous tuberculosis with an unusual appearance and location

Sqalli Houssaini Asmaa1,&, Badreddine Hassam1

 

1Dermatology and Venerology Department, Hospital IBN SINA, Faculty of Médicine and Pharmacy, Mohammed V University, Rabat, Morocco

 

 

&Corresponding author
Sqalli Houssaini Asmaa, Dermatology and Venerology Department, Hospital IBN SINA, Faculty of Médicine and Pharmacy, Mohammed V University, Rabat, Morocco

 

 

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Tuberculosis is a bacterial disease caused by mycobacterium tuberculosis. Its cutaneous form accounts for 2% of all extrapulmonary tuberculosis. We report a case of 30-year-old woman with nodules evolving for two years. Examination showed gums of genital and inguinocrural location, and scrofulous scars. Several diagnoses were discussed including tuberculosis, syphilis, actinomycosis, or cutaneous lymphoma. Skin biopsy revealed an epithelial giganto-cellular granuloma with caseating necrosis; the culture of a cutaneous fragment was positive for Mycobacterium Tuberculosis. Our case is original and unusual due to the uncommon clinical appearance and location of the nodules grouped in the inguinocrural region. The multiplicity of the clinical forms of cutaneous tuberculosis sometimes makes the diagnosis difficult. Gums and scrofulodermas remain the most frequent forms of cutaneous tuberculosis in Morocco. According to the immuno-anatomo-clinical classification, tuberculous gum is part of the multi-bacillary forms and is seen mostly in immunocompromised patients.

 

Figure 1: gums in the inguinocrural region, scrofuloscars

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Original article

Cutaneous tuberculosis with an unusual appearance and location

Original article

Cutaneous tuberculosis with an unusual appearance and location

Original article

Cutaneous tuberculosis with an unusual appearance and location

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Key words

Tuberculosis

Cutaneous tuberculosis

Gums

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Cutaneous tuberculosis with an unusual appearance and location