Tuberculosis cutis colliquativa

Last Updated: 2023-07-07

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

ICD11: 1B12.8

Scrofuloderm, scrophuloderm, scrofuloderm, scrophuloderm.

Cutaneous form of tuberculosis, which can lead to melting and subcutaneous fistula formation.

Especially in immunocompromised patients and the elderly, as well as children.

V.a. per continuitatem (in organ tuberculosis), more rarely exogenously, developing skin tuberculosis.

  • Disseminated, livid, indolent nodules in various locations. Ulceration, fistulation, perforation may occur.
  • To exclude systemic involvement:
  • Thoracic X-ray or CT chest.
  • Sonography of the abdomen and kidneys.
  • In the morning (fasting up to 4h) on 3 consecutive days, sputum must be collected.
  • Pass urine on 3 consecutive days (fluid restriction the evening before!).
  • Bronchoalveolar lavage (BAL).

  • Anamnesis.
  • Clinical.
  • Thoracic X-ray or CT thorax.
  • Sonography of the abdomen and kidneys.
  • Biopsy.
  • Tuberculin test (Mendel-Mantoux).
  • Quantiferon test.

  • Cervical.

Central colliquative necrosis and, peripherally, tuberculoid granulomas are seen.

  • Scarring healing.
  • Recurrent nodal eruptions possible.

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