Chronic osteomyelitis of humerus presenting as scrofuloderma
Scrofuloderma is a common type of cutaneous tuberculosis usually manifests over an infected lymphnode, bone or joint that breaks down to form an undermined ulcer leading to discharging sinuses. We present a case of a 22 year old woman with diffuse swelling of right arm with overlying nodulo ulcerati...
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doaj-c7a4c0c4c8a64243aa4735184e2bb1f92020-11-24T23:13:35ZengWolters Kluwer Medknow PublicationsIndian Journal of Dermatology0019-51541998-36112013-01-0158540840810.4103/0019-5154.117344Chronic osteomyelitis of humerus presenting as scrofulodermaSusmita SahuSatyadarshi PattnaikIndrani MohantyMoningi Venkata NarasimhamPritilata PandaScrofuloderma is a common type of cutaneous tuberculosis usually manifests over an infected lymphnode, bone or joint that breaks down to form an undermined ulcer leading to discharging sinuses. We present a case of a 22 year old woman with diffuse swelling of right arm with overlying nodulo ulcerative skin lesions associated with seropurulent discharge. Routine investigations were normal and X-Ray of the right humerus showed the features of chronic osteomyelitis. Smears of the discharge for bacteria, fungi and acid fast bacilli were negative, but culture of skin biopsy showed Mycobacterium tuberculosis which was confirmed by PCR. Histopathology of skin biopsy showed epithelioid granulomatous inflammation suggestive of tuberculosis. After treating the patient with antitubercular therapy complete regression of the lesions occurred.http://www.e-ijd.org/article.asp?issn=0019-5154;year=2013;volume=58;issue=5;spage=408;epage=408;aulast=SahuOsteomyelitisscrofulodermatuberculosis |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Susmita Sahu Satyadarshi Pattnaik Indrani Mohanty Moningi Venkata Narasimham Pritilata Panda |
spellingShingle |
Susmita Sahu Satyadarshi Pattnaik Indrani Mohanty Moningi Venkata Narasimham Pritilata Panda Chronic osteomyelitis of humerus presenting as scrofuloderma Indian Journal of Dermatology Osteomyelitis scrofuloderma tuberculosis |
author_facet |
Susmita Sahu Satyadarshi Pattnaik Indrani Mohanty Moningi Venkata Narasimham Pritilata Panda |
author_sort |
Susmita Sahu |
title |
Chronic osteomyelitis of humerus presenting as scrofuloderma |
title_short |
Chronic osteomyelitis of humerus presenting as scrofuloderma |
title_full |
Chronic osteomyelitis of humerus presenting as scrofuloderma |
title_fullStr |
Chronic osteomyelitis of humerus presenting as scrofuloderma |
title_full_unstemmed |
Chronic osteomyelitis of humerus presenting as scrofuloderma |
title_sort |
chronic osteomyelitis of humerus presenting as scrofuloderma |
publisher |
Wolters Kluwer Medknow Publications |
series |
Indian Journal of Dermatology |
issn |
0019-5154 1998-3611 |
publishDate |
2013-01-01 |
description |
Scrofuloderma is a common type of cutaneous tuberculosis usually manifests over an infected lymphnode, bone or joint that breaks down to form an undermined ulcer leading to discharging sinuses. We present a case of a 22 year old woman with diffuse swelling of right arm with overlying nodulo ulcerative skin lesions associated with seropurulent discharge. Routine investigations were normal and X-Ray of the right humerus showed the features of chronic osteomyelitis. Smears of the discharge for bacteria, fungi and acid fast bacilli were negative, but culture of skin biopsy showed Mycobacterium tuberculosis which was confirmed by PCR. Histopathology of skin biopsy showed epithelioid granulomatous inflammation suggestive of tuberculosis. After treating the patient with antitubercular therapy complete regression of the lesions occurred. |
topic |
Osteomyelitis scrofuloderma tuberculosis |
url |
http://www.e-ijd.org/article.asp?issn=0019-5154;year=2013;volume=58;issue=5;spage=408;epage=408;aulast=Sahu |
work_keys_str_mv |
AT susmitasahu chronicosteomyelitisofhumeruspresentingasscrofuloderma AT satyadarshipattnaik chronicosteomyelitisofhumeruspresentingasscrofuloderma AT indranimohanty chronicosteomyelitisofhumeruspresentingasscrofuloderma AT moningivenkatanarasimham chronicosteomyelitisofhumeruspresentingasscrofuloderma AT pritilatapanda chronicosteomyelitisofhumeruspresentingasscrofuloderma |
_version_ |
1725597726826037248 |