Lichen scrophulosorum

Last Updated: 2019-08-27

Author(s): Anzengruber F., Navarini A.

ICD11: -

Hebra 1860.

Tuberculosis cutis lichenoides.

In the course of a Tbc infection, lichenoid papules occur with hyperergic immunity.

Particularly common in childhood and adolescence.

Strong immune reaction in the context of a Tuberculosis infection.

  • Symmetrically, perifollicularly and follicularly arranged, yellow-brown, erythematous papules.

  • Anamnesis.
  • Clinic.
  • Tuberculin test (Mendel-Mantoux).  
  • Quantiferon test. 
  • Biopsy.
  • To exclude system involvement:
  • Thorax X-ray or CT thorax.
  • Sonography of the abdomen and kidneys.
  • In the morning (fasting up to 4h) on 3 consecutive days sputum must be collected.
  • In the morning, give urine on 3 consecutive days (fluid restriction the evening before!).
  • Bronchoalveolar lavage (BAL).

  • Especially on the lateral trunk.

Tuberculoid structures, Langhans giant cells, necroses. 

  • Spontaneous healing within weeks.
  • Ganglion relapses.

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