Tuberculosis ulcerosa mucosae et cutis A18.4
Synonym(s)
Contaminated tuberculosis; Mucosal ulcers tuberculous; Tuberculosis cutis orificialis; Tuberculosis miliaris ulcerosa mucosae et cutis; tuberculosis orificialis; Tuberculosis Tuberculosis; tuberculosis ulcerosa cachecticorum; Tuberculous mucosal ulcers; Ulcerous mucosal tuberculosis
Definition
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Autoinoculation in "open" visceral tuberculosis in the body orifices by excreted tubercle bacteria. The massive autoinoculation leads to miliary, rapidly disintegrating, very contagious nodules. Anergic reaction position.
Localization
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Mainly the oral cavity, lips and the corners of the mouth are affected, but also the orifice urethra and anus.
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Clinic
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Small, reddened, later ulcerous papules. Formation of soft, painful, superficial, purulent ulcerations surrounded by an edematous mucosa.
Laboratory
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The tuberculin reaction is negative. Numerous tuberculous bacteria are detectable in the smear.
Histology
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Exudative inflammation, necrosis, isolated tuberculoid granulomas.
Diagnosis
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S.u. Tuberculosis.
Differential diagnosis
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Therapy
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Treatment of the underlying organ tuberculosis. Symptomatic local therapy corresponding to tuberculosis cutis luposa, see there.
Progression/forecast
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Overall unfavourable.
Literature
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- Chen Q et al (2019) Cutaneous tuberculosis: A great imitator. Clin Dermatol 37:192-199.
- Hodzic-Avdagic N et al (2003) Tuberculosis miliaris ulcerosa mucosae Dermatologist 54:360-362.
Recommended articles
Incoming links (6)
Contaminated tuberculosis; Mucous membrane ulcers, tuberculous; Sialometaplasia necrotizing; Tuberculosis cutis orificialis; Tuberculosis, infectious tuberculosis; Tuberculosis ulcerosa cachecticorum;Outgoing links (11)
Acrodermatitis enteropathica; Aphthae (overview); Carcinoma of the skin (overview); Cutaneous tuberculosis; Granuloma, tuberculoids; Papel; Pemphigus vulgaris; Syphilis miliaris ulcerosa mucosae; Tuberculin reaction; Tuberculosis cutis luposa; ... Show allDisclaimer
Please ask your physician for a reliable diagnosis. This website is only meant as a reference.
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Prof. Dr. med. Peter Altmeyer