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KMID : 0383820070620060536
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Tuberculosis and Respiratory Diseases
2007 Volume.62 No. 6 p.536 ~ p.539
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A Case of Tuberculous Lymphadenitis accompanying Papulonecrotic Tuberculid
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Han Tae-Young
Kim Myeung-Nam
Kwak Hee-Won
Choi Jae-Cheol
Shin Jong-Wook
Kim Jae-Yeol
Park In-Won
Choi Byoung-Whui
Kim Ji-Young
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Abstract
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Lymphadenitis is a common manifestation in tuberculous diseases. However, papulonecrotic tuberculid is an uncommon cutaneous manifestation, and is considered an allergic reaction against tuberculous bacilli in tuberculous lesions other than the lymph nodes. A wide great variety of cutaneous manifestations arise over a period of a few weeks - i.e., papules, necrosis, crusted and atrophic scars. We described a 27-year-old woman with right cervical tuberculous lymphadenitis and skin lesions involving her arms, legs and both fingers. Histopathologically, a leukocytoclastic vasculitis with V-shaped epidermal necrosis was observed in the upper and deep dermis, including the good response to anti-tuberculosis therapy support the diagnosis of papulonecrotic tuberculid.
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KEYWORD
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Papulonecrotic tuberculid, Tuberculous lymphadenitis
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