Tuberculosis cutis miliaris disseminata

Last Updated: 2019-08-26

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

ICD11: -

Cutaneous miliary tuberculosis.

Miliary tuberculosis of the skin due to haematogenic sowing. This occurs primarily in immunosuppressed patients or children or the elderly.

In particular, infants, young children, the elderly and immunocompromised people are affected.

  • Hematogenic sowing of tubercle bacteria leads to miliary tuberculosis.
  • There are plenty of pathogens in the cutaneous lesions.

  • Partially ulcerating, dense erythematous-brownish, haemorrhagic papules.
  • Enormous involvement is possible. 

  • Travel medical history
  • Clinic.
  • Tuberculin test.
  • Tuberculin test (Mendel-Mantoux) often negative.
  • 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 on 3 consecutive days urine must be given (fluid restriction the evening before!).

  • Bronchoalveolar lavage (BAL).

In most cases, disseminated organ infestation occurs.

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