Two cases of lupus vulgaris in childhood and review of the clinical challenges.
Klin Padiatr
; 226(1): 40-3, 2014 Jan.
Article
em En
| MEDLINE
| ID: mdl-23599230
ABSTRACT
BACKGROUND:
Lupus vulgaris (LV) is the most common form of cutaneous tuberculosis (TB) in Europe, nevertheless the overall incidence is low. It constitutes about 1.5% of all extra-pulmonary cases worldwide. A slight raise in TB incidence rates among children was recently registered in Germany, which can be explained by the increased immigration. PATIENTS ANDMETHODS:
We present 2 cases of immigrated children who were diagnosed with Lupus vulagris, both clinically and histopathologically. Although the symptoms and the duration of the skin lesions were very different, both patients had a non-healing skin ulceration.In our cases cultures of the skin biopsy were positive for Mycobacterium tuberculosis and the lesions showed marked improvement in response to antituberculous treatment. In the first patient, it took 6 years between occurrence of skin lesions and final diagnosis. The second patient had an extracutaneous focus, namely abdominal TB.CONCLUSION:
We report our experience and emphasize on recent advances in the diagnosis and treatment of paediatric skin TB.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Emigrantes e Imigrantes
/
Lúpus Vulgar
País/Região como assunto:
Asia
/
Europa
Idioma:
En
Ano de publicação:
2014
Tipo de documento:
Article
País de afiliação:
Alemanha