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Lichenoid tuberculidA18.4

Author:Prof. Dr. med. Peter Altmeyer

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Last updated on: 03.08.2023

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Synonym(s)

lichen scrophulosorum; Tuberculosis cutis lichenoides; Tuberkulid lichenoides

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HistoryThis section has been translated automatically.

Hebra 1860

DefinitionThis section has been translated automatically.

Rare disease with appearance of follicular, lichenoid papules in hyperergic immune state. Expired organ tuberculosis is occasionally reported. Failure of the tuberculin response is uncharacteristic.

EtiopathogenesisThis section has been translated automatically.

Tuberculid. Unclear pathogenesis. The association between expired organ tuberculosis and a lichenoid tuberculid has not been clearly demonstrated.

ManifestationThis section has been translated automatically.

Occurs mainly in children and young people.

LocalizationThis section has been translated automatically.

Above all lateral torso-parts are attacked.

Clinical featuresThis section has been translated automatically.

Symmetrically arranged, disseminated or also grouped, always follicular or perifollicular, pointed conical, yellow-brown, reddish or skin-colored, lichenoid papules, sometimes solitary, sometimes also confluent.

HistologyThis section has been translated automatically.

Perifollicular or follicular tuberculoid structures: Langhans giant cells, small foci of necrosis. No mycobacteria detectable or growable.

DiagnosisThis section has been translated automatically.

Positive tuberculin reaction.

Differential diagnosisThis section has been translated automatically.

Id reactions of other genesis; lichen planus follicularis; hyperkeratosis follicularis due to avitaminosis C.

External therapyThis section has been translated automatically.

If necessary, lotio alba or glucocorticoid-externa like 0.25% prednicarbate cream(e.g. Dermatop cream) Usually regression after a few weeks. Recurrences possible.

Internal therapyThis section has been translated automatically.

Treatment of the underlying disease with systemic chemotherapy, see under tuberculosis cutis luposa.

Progression/forecastThis section has been translated automatically.

The disease develops slowly. Usually regression after a few weeks/months. Recurrences are possible.

LiteratureThis section has been translated automatically.

  1. Orfanos C (1970) Tuberculosis of the skin.In: HA Gottron et al. (Eds.) Dermatology and Venereology. Georg Thieme Verlag, Stuttgart, pp.316-318.
  2. Von Hebra F, Kaposi M (1860) Lichen scrofulosorum. In: Textbook of skin diseases. Volume 1, Enke, Erlangen, p. 198.
  3. von Hebra F (1868) Lichen scrofulosorum. In: Fagge CH, Pyesmoth PH (eds.) Diseases of the skin. Vol. 2, New Sydenham Society London, p. 58.

Authors

Last updated on: 03.08.2023

Author: Prof. Dr. med. Peter Altmeyer