Abstract:Squamous cell carcinomas are known to arise in certain chronic, scarring dermatoses and also to be associated with exposure to ultraviolet radiation. We now report a case arising in a plaque of lupus vulgaris, the patient having received radiation from a Finsen lamp as a child for a tuberculous abscess in that region.
“…19,22,23 The incidence
of malignant transformation into squamous cell carcinoma in LV plates ranged from 0.5 to
10.5% and it usually occurs after 25-30 years of untreated disease. 36,37 The development of other malignancies, such as basal cell carcinoma
has also been reported. 20 …”
Cutaneous tuberculosis (CTB) is the result of a chronic infection by Mycobacterium
tuberculosis, M. ovis and occasionally by the Calmette-Guerin bacillus. The clinical
manifestations are variable and depend on the interaction of several factors
including the site of infection and the host's immunity. This article revises the
current knowledge about this disease's physiopathology and immunology as well as
detailing the possible clinical presentations.
“…19,22,23 The incidence
of malignant transformation into squamous cell carcinoma in LV plates ranged from 0.5 to
10.5% and it usually occurs after 25-30 years of untreated disease. 36,37 The development of other malignancies, such as basal cell carcinoma
has also been reported. 20 …”
Cutaneous tuberculosis (CTB) is the result of a chronic infection by Mycobacterium
tuberculosis, M. ovis and occasionally by the Calmette-Guerin bacillus. The clinical
manifestations are variable and depend on the interaction of several factors
including the site of infection and the host's immunity. This article revises the
current knowledge about this disease's physiopathology and immunology as well as
detailing the possible clinical presentations.
“…A correct diagnosis and an adequate treatment are crucial because LV, if left untreated, carries the risk of local destruction or development of malignant skin tumors including squamous cell carcinoma and, less commonly, basal cell carcinoma and cutaneous sarcoma [6][7][8][9][10] . Dermoscopy is a noninvasive diagnostic tool allowing the visualization of pigmented and vascular structures that are not visible to the unaided eye [11] .…”
“…This occurs mostly in patients in their fourth and fifth decades. Usually it takes about 25–30 years to develop a carcinoma within a plaque of lupus vulgaris 5,8–10 . In our patient the malignancy was diagnosed at the age of 63 years, after at least 38 years from the onset of lupus vulgaris.…”
Section: Discussionmentioning
confidence: 67%
“…The extent of cutaneous LV spread depends upon the duration of the tuberculosis and the patient's cell‐mediated immunity. Squamous cell carcinoma (SCC) can develop within long lasting plaques 4,5 …”
With an increasing worldwide incidence of tuberculosis, one needs to be aware of its cutaneous forms and variants, as well as its complications, in particular skin cancer. Lupus vulgaris exfoliativus may resemble psoriasis vulgaris.
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