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Chapter 28 : Cutaneous Tuberculosis

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Cutaneous Tuberculosis, Page 1 of 2

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Abstract:

Cutaneous tuberculosis (TB) is not a well-defined entity but comprises a wide spectrum of clinical manifestations. In the past, much of the confusion regarding cutaneous TB has resulted from misleading, redundant nomenclature and cumbersome, non-clinically oriented classifications of cutaneous disease. These classifications have been based on various criteria, including chronic versus labile disease, localizing versus hematogenous disease, histologic forms of disease, immunologic status of the patient, primary disease versus reinfection, and listing of the various types of cutaneous mycobacteriosis ( ). A more clinically relevant classification has been developed that uses three criteria: pathogenesis, clinical presentation, and histologic evaluation ( Table 1 ).

Citation: Hill M, Sanders C. 2017. Cutaneous Tuberculosis, p 483-489. In Schlossberg D (ed), Tuberculosis and Nontuberculous Mycobacterial Infections, Seventh Edition. ASM Press, Washington, DC. doi: 10.1128/microbiolspec.TNMI7-0010-2016
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Figures

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Figure 1

Cutaneous TB from needlestick injury in a lab technologist. Reprinted with permission from reference .

Citation: Hill M, Sanders C. 2017. Cutaneous Tuberculosis, p 483-489. In Schlossberg D (ed), Tuberculosis and Nontuberculous Mycobacterial Infections, Seventh Edition. ASM Press, Washington, DC. doi: 10.1128/microbiolspec.TNMI7-0010-2016
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Figure 2

Draining ulcer overlying tuberculous lymphadenitis—“scrofuloderma.” Photo courtesy of David Schlossberg.

Citation: Hill M, Sanders C. 2017. Cutaneous Tuberculosis, p 483-489. In Schlossberg D (ed), Tuberculosis and Nontuberculous Mycobacterial Infections, Seventh Edition. ASM Press, Washington, DC. doi: 10.1128/microbiolspec.TNMI7-0010-2016
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Figure 3

Tuberculous ulcer of tongue in patient with pulmonary tuberculosis. Reprinted with permission from reference .

Citation: Hill M, Sanders C. 2017. Cutaneous Tuberculosis, p 483-489. In Schlossberg D (ed), Tuberculosis and Nontuberculous Mycobacterial Infections, Seventh Edition. ASM Press, Washington, DC. doi: 10.1128/microbiolspec.TNMI7-0010-2016
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Figure 4

Lupus vulgaris of the ear. Reprinted with permission from reference .

Citation: Hill M, Sanders C. 2017. Cutaneous Tuberculosis, p 483-489. In Schlossberg D (ed), Tuberculosis and Nontuberculous Mycobacterial Infections, Seventh Edition. ASM Press, Washington, DC. doi: 10.1128/microbiolspec.TNMI7-0010-2016
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Tables

Generic image for table
Table 1

Classification of cutaneous TB and synonymous terms used previously

Citation: Hill M, Sanders C. 2017. Cutaneous Tuberculosis, p 483-489. In Schlossberg D (ed), Tuberculosis and Nontuberculous Mycobacterial Infections, Seventh Edition. ASM Press, Washington, DC. doi: 10.1128/microbiolspec.TNMI7-0010-2016

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