Korean J Dermatol.  1981 Aug;19(4):439-443.

A Case of Papulonecrotic Tuberculid

• Nam KH
• Ahn CH
• Kim SN
• Lee BH

Abstract

The pathogeoesis of papulonecrotic tuberculid had been thought to be the result of hernatogenous dissemination from primary tuberculous focus of other organs. But, today, the existence of papulonecrotic tuberculid as a rare cutaneous reaction to the Mycobacterium bacillus is questioned. Papulonecrotic tuberculid is, however, a real entity in underdeveloped countries where tuberculosis is more common. We report a case having papulonecrotie tuberculid associated with cervical lymph node tuberculosis confirmed by typical histopathology and by clinical response to antituberculous chemotherapy. This case supports Iden et al's view (1) that skepticism regarding the existence of papulonecrotic tuberculid is probably the result of the current decreased prevalence of untreated tuberculosis and consequently increased rarity of this entity.

MeSH Terms

Bacillus
Drug Therapy
Mycobacterium
Prevalence
Tuberculosis
Tuberculosis, Cutaneous*
Tuberculosis, Lymph Node