Lichen Scrofulosorum with Atypical Presentation: A Case Report and Literature Review

Authors

  • Supawee Phanmamuang Institute of Dermatology, Department of Medical Services, Ministry of Public Health, Bangkok, Thailand.
  • Poonnawis Sudtikoonaseth Institute of Dermatology, Department of Medical Services, Ministry of Public Health, Bangkok, Thailand.

Keywords:

Lichen scrofulosorum, Cutaneous tuberculosis, Tuberculid, Antituberculosis therapy

Abstract

Lichen scrofulosorum is a rare form of cutaneous tuberculosis caused by an immune hypersensitivity reaction to Mycobacterium tuberculosis infection. The common locations are the trunk and proximal extremities. This study reported atypical presentation of lichen scrofulosorum. A 36-year-old Thai male presented with perifollicular papules on both periorbicular areas and cheeks. The diagnosis was confirmed by histopathology, which showed perifollicular non-caseous granulomatous formation, and tissue polymerase chain reaction (PCR) was positive for Mycobacterium tuberculosis. He was treated with standard antituberculosis therapy. The clinical symptoms completely resolved after six months of treatment.

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Published

2023-09-04

How to Cite

Phanmamuang, S., & Sudtikoonaseth, P. (2023). Lichen Scrofulosorum with Atypical Presentation: A Case Report and Literature Review. Thai Journal of Dermatology, 39(3), 51–54. Retrieved from https://he02.tci-thaijo.org/index.php/TJD/article/view/260107