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KMID : 0363220030410111503
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Korean Journal of Dermatology
2003 Volume.41 No. 11 p.1503 ~ p.1507
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Two Cases of Scrofuloderma
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Abstract
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Scrofuloderma results from a direct extension of an underlying tuberculosis focus such as the lymph node, bone or joint to the underlying skin, and is often associated with pulmonary tuberculosis. One 72-year-old man presented with erythematous swollen patch with scales on the left hand and erythematous swollen patch on the left elbow. He had tuberculous osteomyelitis of left elbow. And another patient who is a 59-year-old man presented with hemorrhagic, purulent ulcers with crust and exudate on the left and right chest. Each size of ulcers are 6.0 x 5.Ocm and 5.O x 5.Ocm. He had reactive pulmonary tuberculosis and tuberculous spondylitis. Biopsy specimens from the clan showed lymphocytes, epitheloid cells, and Langerhan´s giant cells with caseation necrosis. Acid fast bacilli were identified of AFB staining. We report two unusual cases of scrofuloderma associated with tuberculous osteomyelitis and pulmonary tuberculosis respectively.
(Korean J Dermatol 2003;41(11):1503-1507)
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