An Aged Case of Scrofuloderma on the Thorax over the Old Lesion of Pulmonary Tuberculosis

Sasaki, Michio; Numahara, Toshihiko; Sasaki, K; Nishimoto, Masashi; Takaiwa, Takashi

doi:10.2336/nishinihonhifu.58.615

Cited by 2 publications

(2 citation statements)

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“…Sasaki (9) reviewed seven cases of scrofuloderma on the chest wall reported in Japan over the 20 years between 1975 and 1994. Ishikawa (8) also reviewed fourteen cases observed between 1995 and 1998 in addition to the seven cases described in Sasaki's report.…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, tumor necrosis factor (TNF) secreted by activated macrophages also encourages granuloma formation (11). Underlying mechanisms of the disease are thought to be 1) direct invasion from an old tuberculous abscess through intercostals, 2) expansion from an infected lymph gland on the chest wall, and 3) lymph or haematogenous tuberculosis from a lung lesion (5, 9, 12).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Pericostal Tuberculosis Diagnosed by Fine Needle Aspiration Biopsy: Report of a Case with a Review of the Literature

Abé

Kumamoto

Hoshino³

et al. 2005

The Journal of Dermatology

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We present an 81-year-old woman with pericostal tuberculosis, a rare disease recently, without a past history of pulmonary tuberculosis or tuberculous pleurisy. She developed a subcutaneous nodule on her right chest. She was suspected of skin tuberculosis after the confirmation of acid-fast bacilli in a fine needle aspiration material of the nodule. A tuberculin skin test was strongly positive. The nodule was resected, and preclusive antituberculosis chemotherapy with rifampicin and isoniazid was started. The histological findings included granulomatous changes, central necrosis and Langhans' giant cells. Mycobacterium tuberculosis was identified from a culture of the specimen. About six months after the operation, no erythema, nodule or abscess was observed. We first suspected that she had mammary carcinoma and therefore observed the nodules on the thorax; it is important to differentiate tuberculosis from neoplasms. We also reviewed 22 cases of pericostal tuberculosis in Japan reported in the 15 years from 1976 to 2002.

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Section: Discussionmentioning

confidence: 99%