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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http://dx.doi.org/10.1111/ced.15302 | DOI Listing |
Ann Dermatol Venereol
December 2024
Infectious and Tropical Diseases Department, Hôpitaux Universitaires Pitié Salpêtrière-Charles Foix, AP-HP, Paris, France; Sorbonne University, INSERM, Institut Pierre Louis d'Epidémiologie et de Santé Publique, Paris, France.
Objectives: Cutaneous tuberculosis (CTB) may be over-diagnosed due to imprecise diagnostic criteria or overlooked where mycobacterial investigations are negative. We evaluated the distinction between multibacillary and paucibacillary forms of CTB, as well as drug resistance and cure rates according to the results of mycobacterial investigations.
Methods: We included retrospectively all patients diagnosed with CTB from 1995 to 2018 in two hospitals in Paris.
Int J Dermatol
September 2024
Department of Pathology and Lab Medicine, All India Institute of Medical Sciences, Bhubaneshwar, India.
Indian J Dermatol
April 2024
From the Department of Dermatology, Venereology and Leprology, Government Medical College and Hospital, Chandigarh, Punjab, India.
Indian Dermatol Online J
October 2023
Department of Dermatology and Sexually Transmitted Disease, Dr. Shankarrao Chavan Govt. Medical College and Hospital Nanded, Maharashtra, India.
CMAJ
February 2024
Department of Dermatovenereology (Zhang, Chen), Chengdu Second People's Hospital, Chengdu, Sichuan, China; Sexually Transmitted Disease Institute (Wu), Shanghai Skin Disease Hospital, School of Medicine, Tongji University, Shanghai, China
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