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Tuberculosis cutis verrucosaA18.44

Author:Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

Light tuberculosis; Slaughterhouse tuberculosis; Slaughter tubercle; Tubercle Light tubercle; Tuberculosis verrucosa cutis; tuberculum anatomicum; verrucae necrogenicae; verruca necrogenica; warty tuberculosis of the skin; Wilk's disease

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HistoryThis section has been translated automatically.

Paltauf and Riehl, 1886

DefinitionThis section has been translated automatically.

Rare, post-primary superficial paucibacillary inoculation tuberculosis due to exogenous reinfection or autologous superinfection after the tuberculous primary complex with partial immunity and normergic reaction of the organism. Infection occurs when handling material containing the pathogen.

Notice! Occupational disease of the skin (farmers, butchers, anatomists, pathologists).

EtiopathogenesisThis section has been translated automatically.

Typical post-primary re-infection of the skin with good immunity. Penetration of tubercle bacteria into the skin through small injuries. Frequently occurring in people who work in agriculture.

ManifestationThis section has been translated automatically.

Butcher's tubercle: mainly farmers, butchers, veterinarians. Mostly type bovinus; extremely chronic course.

Mild tuberculosis: Doctors, employees in pathological or anatomical institutes. Mostly type humanus, often acute course with tuberculous lymphangitis.

LocalizationThis section has been translated automatically.

Especially the back of the hand or fingers as well as the foot or heel area are affected. Often unilateral manifestation.

Clinical featuresThis section has been translated automatically.

Mostly blurred, round, oval or polycyclic, indolent or slightly touch-sensitive, brown-red, coarse, coarse, sloppy papules or plaques, occasionally papulopustules or erosions with crustal formations. Lesions are often surrounded by an inflammatory halo. The lesions show peripheral progression and central scarring. Secondary infections and regional lymph node swelling are common.

Note: Since mycobacteria cannot penetrate intact skin, the manifestations of infection are typically found at the site of injury.

HistologyThis section has been translated automatically.

Irregular acanthosis and papillomatosis in ortho- partly also parahyerpkeratosis. Pronounced nodular, sometimes also band-shaped infiltrate of the papillary or upper and middle dermis. Repeated epithelioid-cellular granulomas with central necrosis, abundant neutrophil granulocytes and nuclear debris as well as lymphocyte border of varying density.

DiagnosisThis section has been translated automatically.

S.u. Tuberculosis.

Differential diagnosisThis section has been translated automatically.

verrucae vulgaris

Chronic vegetative pyoderma

Spinocellular carcinoma

Bromoderm

Blastomycosis

M. Bowen.

Internal therapyThis section has been translated automatically.

S.u. Tuberculosis cutis luposa.

Operative therapieThis section has been translated automatically.

If necessary complete excision of small flocks

Progression/forecastThis section has been translated automatically.

Favorable with adequate therapy. S.u. Tuberculosis cutis luposa.

LiteratureThis section has been translated automatically.

  1. Barbagallo J et al (2002) Cutaneous tuberculosis: diagnosis and treatment. Am J Clin Dermatol 3: 319-328
  2. Chen Q et al (2019) Cutaneous tuberculosis: A great imitator. Clin Dermatol 37:192-199.
  3. Koch R (1890) Further news about a cure for tuberculosis. German med Wschr 16: 1029-1032
  4. Riehl G, Paltauf R (1886) Tuberculosis verrucosa cutis. Eline form of skin tuberculosis not yet described. Vjschr Derm Syph 13: 19-49
  5. Vora RV et al (2016) Tuberculosis verrucosa cutis with multifocal involvement. Indian Dermatol Online J 7:60-62.

Authors

Last updated on: 29.10.2020

Author: Prof. Dr. med. Peter Altmeyer

Editor: Birte Stroucken