GRAND ROUNDS AND TEACHING FILES
Cutaneous tuberculosis


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Clinical Problem:


Ira Shah
Medical Sciences Department, Pediatric Oncall, Mumbai, India

Address for Correspondence: Dr Ira Shah, 1, B Saguna, 271, B St Francis Road, Vile Parle {W}, Mumbai 400056


A 3 years old boy presented in December 2014 with reddish patch of 1 cm diameter over left cheek for the past 1½ years. He had been to various dermatologists for the same but had no relief. A biopsy done in October 2014 showed patchy nodular tuberculoid granulomatous infiltrate made up of lymphocytes, plasma cells, histiocytes and epithelioid cells with occasional langerhans giant cells suggestive of tuberculosis. There was no contact with a patient having TB. He was started on antituberculous therapy {ATT} and referred for further management. On presentation, weight was 12.7 kg, height was 90 cm. He had chancre over left cheek. Other systems were normal. On enquiry, mother gave history of taking bath from bore well water prior to onset of rash. His mantoux test was 1.7 cm and chest X-Ray was normal. He was continued on ATT and clarithromycin was added to cover atypical organisms.



How to manage cutaneous TB_?

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