Scrofuloderma: a diagnostic dilemma in primary care

Md Rifin, Sakinah and Shalihin, Mohd Shaiful Ehsan and Jidin @ Mohd Tahar, Maznun (2021) Scrofuloderma: a diagnostic dilemma in primary care. Medical Journal of Malaysia, 76 (3). pp. 251-253. ISSN 0300-5283

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Abstract

A 35-year-old lady presented at the Klinik Kesihatan Bandar 32 Bera, Pahang with a one-month history of multiplecervical swelling and ulcers over her neck area. The lesions began as papules and later progressively developed into nodules and pustules. She also had low grade fever associated with weight loss for one month duration. Chest x-ray revealed normal findings and sputum direct smear foracid fast bacilli was noted to be negative. Histopathologic finding of skin biopsy revealed central epidermal necrosis surrounded by granulomatous tissue forming an abscessand histiocyte infiltrates, confirming the diagnosis of Scrofuloderma. In view of the report of the fine needle aspiration cytology (FNAC) of the cervical lymph nodes suggestive for tuberculous lymphadenitis, the patient was given anti-tuberculosis therapy. Fortunately, six months later, the ulcers began to solve and heal gradually.

Item Type:	Article (Case Report)
Additional Information:	6934/89671
Subjects:	R Medicine > R Medicine (General) R Medicine > RA Public aspects of medicine R Medicine > RC Internal medicine R Medicine > RL Dermatology
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine Kulliyyah of Medicine > Department of Family Medicine (Effective: 1st January 2011)
Depositing User:	Dr Mohd Shaiful Ehsan Shalihin
Date Deposited:	04 May 2021 10:50
Last Modified:	04 May 2021 10:50
URI:	http://irep.iium.edu.my/id/eprint/89671

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