A clinico-epidemiological study of cutaneous tuberculosis at tertiary care centre of western India

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Original Article

Author Details : Ramesh Kumar Kushwah, Vinod Kumar Jangid*, Suresh Kumar Jain, Prafful Mehta

Volume : 5, Issue : 1, Year : 2020

Article Page : 8-12

https://doi.org/10.18231/j.ijirm.2020.003

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Abstract

Introduction: Cutaneous tuberculosis is not a uncommon type of extrapulmonary tuberculosis in
India. Our aim was to study the various clinico morphological pattern and epidemiology of cutaneous
tuberculosis, and to correlate them with mantoux reactivity and human immunodeficiency virus (HIV)
status.
Materials and Methods: During the one year newly diagnosed patients of cutaneous tuberculosis were
included in this study, attending at Dermatology Outpatient Department. The demographic details, clinical
and vaccination history, family history and clinical features were recorded. Monteux test, HIV (ELISA)
test and other relevant test done in all cases. Diagnosis was confirmed by clinical, histopathological and
microbiological evidences.
Results: In our study out of total 34 cases most common morphological variant of cutaneous tuberculosis
was lupus vulgaris (LV) (38.23%) followed by Scrofuloderma (SFD) (29.41%) and tuberculois verrucoa
cutis (20.59%). In morphologic pattern, plaques were most common lesions in both tuberculois verrucoa
cutis and lupus vulgaris while ulcerative lesions were in scrofuloderma.
Conclusions: Skin tuberculosis as well as other extra-pulmonary TB is an important issue in the era of
HIV-AIDS. As current and newer diagnostic tools are not enough sensitive, specific or cost effective in its
diagnosis, knowing its clinical pattern and presentation is important.

Keywords: Acid fast bacilli, Cutaneous tuberculosis, HIV, Lupus vulgaris.

How to cite : Kushwah R K, Jangid V K, Jain S K, Mehta P, A clinico-epidemiological study of cutaneous tuberculosis at tertiary care centre of western India. IP Indian J Immunol Respir Med 2020;5(1):8-12

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