Papulonecrotic tuberculid.

Clin Exp Dermatol

Department of Dermatology, Venereology and Leprosy, Sri Manakula Vinayagar Medical College and Hospital, Pondicherry, India.

Published: October 2022

AI Article Synopsis

  • Papulonecrotic tuberculid (PNT) is a rare skin condition linked to tuberculosis, affecting individuals with strong immunity and sensitivity to mycobacteria.
  • It typically manifests as recurring papulonecrotic lesions that can crust or ulcerate, leading to scars that resemble smallpox over time.
  • Diagnosis involves a positive tuberculin test and specific histological findings, and PNT usually responds well to antituberculous treatment, highlighting the need for dermatologists to be aware of this condition.

Article Abstract

Papulonecrotic tuberculid (PNT) is an uncommon form of id eruption, which occurs in association with tuberculosis infections in patients with a high degree of immunity and allergic sensitivity to mycobacterial organisms. It commonly presents as recurrent crops of papulonecrotic lesions that crust or ulcerate, and heal with atrophic varioliform scars over time. The differential diagnoses of PTN are wide and varying. Tuberculin test is usually strongly positive. Histology shows tuberculoid histology with endarteritis and thrombosis of dermal blood vessels. One of the hallmarks of PNT is its prompt response to antituberculous therapy. The purpose of this article is to increase awareness of this condition among dermatologists.

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Source
http://dx.doi.org/10.1111/ced.15302DOI Listing

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