%0 Case Reports
%T A Chronic Multiple Site of Scrofuloderma: Is It Reactivation or Treatment Failure of Tuberculosis?
%A Yang X
%A Ren Y
%A Liu H
%A Ten Y
%A Ding Y
%A Fan S
%A Tao X
%A Lu W
%J Clin Cosmet Investig Dermatol
%V 16
%N 0
%D 2023
%M 37701061
%F 2.765
%R 10.2147/CCID.S422546
%X We report a case of 32-year-old patient who presented with painless erythematous plaque gradually ulcerated for 9 years. He had a history of pulmonary tuberculosis 12 years ago and was cured by the treatment of 2HRZE/4HR. The laboratory examination of t-spot and PPD skin test was positive. Histopathology examinations of left cervical lymph node as well as skin revealed granulomatous inflammation with caseous necrosis. A diagnosis of scrofuloderma was made. Negative sputum culture and chest CT scan results excluded pulmonary tuberculosis. The patient was treated with a standard antituberculosis therapy and recovered well after 5 months' follow-up. Scrofuloderma is a rare manifestation of mycobacterial infection. Early diagnosis and treatment are very important.