| CASE REPORT |
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| Year : 2023 | Volume
: 12
| Issue : 1 | Page : 103-106 |
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Atypical cutaneous tuberculosis with an unusual course
Zineb Zeggwagh1, Hasna Azendour1, Kaoutar Znati2, Karima Senouci1
1 Department of Dermatology and Venerology, Ibn Sina Hospital, Mohammed V University in Rabat, Rabat, Morocco
2 Department of Anatomopathology, Ibn Sina Hospital, Mohammed V University in Rabat, Rabat, Morocco
Correspondence Address:
Zineb Zeggwagh
Department of Dermatology and Venerology, Ibn Sina Hospital, Mohammed V University in Rabat, Rabat
Morocco
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/ijmy.ijmy_4_23
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Cutaneous tuberculosis represents the fifth extrapulmonary form in Morocco after pleural, lymph node, urogenital, and intestinal tuberculosis. It is recognized to form a continuous immunopathologic spectrum, ranging from a high intensity to a low intensity of cell-mediated immunity, which explains the multiplicity and heterogeneity of anatomo-clinical forms. Association of multiple forms in the same patient is really rare. In this regard, we report a case of scrofuloderma on axillary tuberculosis adenitis associated to a lupus vulgaris in an immunocompetent patient, which was confirmed by histology, QuantiFERON-TB Gold test, and polymerase chain reaction. He received an antituberculous therapy with clinical regression of the lesions. In conclusion, cutaneous tuberculosis is still endemic in developing countries.The diagnosis is difficult because of its clinical polymorphism. That's why it's should be suspected clinically in the presence of any destructive or verrucous skin lesion evolving without healing for a long period and confirmed by bacteriological examinations and histology.
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