{Reference Type}: Case Reports
{Title}: A Chronic Multiple Site of Scrofuloderma: Is It Reactivation or Treatment Failure of Tuberculosis?
{Author}: Yang X;Ren Y;Liu H;Ten Y;Ding Y;Fan S;Tao X;Lu W;
{Journal}: Clin Cosmet Investig Dermatol
{Volume}: 16
{Issue}: 0
{Year}: 2023
{Factor}: 2.765
{DOI}: 10.2147/CCID.S422546
{Abstract}: 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.