DISSEMINATED CUTANEOUS TUBERCULOSIS

• Published in: Vestnik dermatologij i venerologij Vol. 94; no. 2; pp. 69 - 77
• Main Authors: Zaslavskij, D. V., Egorova, Yu. S., Chuprov, I. N., Olovyanishnikov, I. O., Gurkovskaya, Ya. Yu, Sydikov, A. A., Chuzhov, A. L., Ovchinnikova, Yu. E., Dovgalyuk, I. F., Starshinova, A. A.
• Format: Journal Article
• Language: English
• Published: State Scientific Center of Dermatovenereology and Cosmetology 06.06.2018
• Subjects: cutaneous tuberculosis; disseminated; generalized tuberculosis; tuberculosis cutis lichenoides
• ISSN: 0042-4609; 2313-6294
• DOI: 10.25208/0042-4609-2018-94-2-69-77

Cutaneous tuberculosis is a clinically and morphologically heterogeneous group of skin diseases directly or indirectly caused by mycobacteria of the tuberculosis complex, occupying the 5th place among all localizations of extra-pulmonary tuberculosis. Manifestations of cutaneous tuberculosis are extremely diverse and depend on the immune status and ways of penetration of mycobacteria into the skin. Skin involvement can occur as a result of exogenous inoculation, contiguous spread from an adjacent focus, or hematogenous spread from other foci. Family cases of disseminated cutaneous tuberculosis are described. A combination of several clinical forms of cutaneous tuberculosis — scrofuloderma, tuberculosis cutis lichenoides (moniliformis scrophulosorum) and lupus — are observed in a 5 year old child with a family history of tuberculosis. The issues of pathogenesis and advanced methods of diagnosis of cutaneous tuberculosis are also discussed.