A 9-year-old boy presented with asymptomatic, skin colored, grouped papules with mild scaling on elbows, buttocks, knees, and dorsa of feet in a bilateral symmetric manner for 8 months (Fig. 1). There were no systemic features and boy appeared otherwise healthy. Family history was non-contributory. Mantoux text was positive (20 X 24 mm); routine blood investigations, chext X-ray and abdominal ultrasonography were normal. Histopathological findings were consistent with lichen scrofulosorum (Fig. 2). He showed almost complete resolution of lesions after four months of anti-tubercular therapy.
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