Korean J Dermatol.  1985 Oct;23(5):667-671.

Tuberculosis Cutis Orificialis

Abstract

We report herein a case of tuberculosis cutis orificialis in a 50-year-old man. He suffered from well demarcated, 2x5cm sized, slightly tender, pus discharging, perianal ulcer with bluish edges for 3 months. The biopsy specimen from the ulcer revealed tuberculoid structure with Langhans giant cells in the deep dermis and a few acid-fast bacilli. AFB cultures from the sputum, pus, and tissue were successful. Intradermal test with PPD showed positive result. Chest roentgenographic findings disclosed advanced pulmonary tuberculosis. Almost complete healing of the perianal ulcers occurred following 2 months of therapy using antituberculosis drugs.

Keyword

Tuberculosis cutis orificialis; Pulmonary tuberculosis; Perianal ulcer

MeSH Terms

Biopsy
Dermis
Giant Cells, Langhans
Humans
Intradermal Tests
Middle Aged
Sputum
Suppuration
Thorax
Tuberculosis*
Tuberculosis, Pulmonary
Ulcer
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