Un caso de tuberculosis cutánea semejante a una vasculitis paraneoplásica / A case of cutaneous tuberculosis is simulating paraneoplastic vasculitis

Presentamos el caso de un paciente con linfoma no hodgkiniano tipo T, en remisión clínica después de tratamiento con quimioterapia y radioterapia, que ingresa por lesiones cutáneas necroticohemorrágicas en mano derecha, sospechosas de vasculitis paraneoplásica. Sin embargo, el estudio del paciente y las pruebas complementarias condujeron al diagnóstico de tuberculosis deseminada con afectación cutánea (tuberculosis miliar cutánea) y pulmonar. Se instauró tratamiento tuberculostático con resolución del cuadro clínico (AU)

We present the case of a patient with type T nonHodgkin lymphoma, in clinical remission after treatment with chemo and radiotherapy, who was hospitalized due to hemorrhagic and necrotic skin lesions on his right hand and a clinical suspicion of paraneoplasic vasculitis. Nonetheless, study of the patient and complementary testing led to the diagnosis of disseminated tuberculosis with skin and lung involvement (cutaneous milliary tuberculosis). Anti-tuberculosis treatment was initiated with a satisfactory resolution of symptoms and signs (AU)

[A Case of Cutaneous Tuberculosis is Simulating Paraneoplastic Vasculitis]. / Un caso de tuberculosis cutánea semejante a una vasculitis paraneoplásica.

We present the case of a patient with type T non-Hodgkin lymphoma, in clinical remission after treatment with chemo and radiotherapy, who was hospitalized due to hemorrhagic and necrotic skin lesions on his right hand and a clinical suspicion of paraneoplasic vasculitis. Nonetheless, study of the patient and complementary testing led to the diagnosis of disseminated tuberculosis with skin and lung involvement (cutaneous milliary tuberculosis). Anti-tuberculosis treatment was initiated with a satisfactory resolution of symptoms and signs.