Down the Rabbit Hole: Cutaneous Tuberculosis

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Presentation transcript:

Down the Rabbit Hole: Cutaneous Tuberculosis Joshua S. Mervis, BA, Brian C. Machler, MD, Andrew J. Hanly, MD, Daniel G. Federman, MD, FACP The American Journal of Medicine Volume 132, Issue 1, Pages 52-54 (January 2019) DOI: 10.1016/j.amjmed.2018.08.016 Copyright © 2019 Terms and Conditions

Figure 1 The patient's posterior trunk was marked with pink urticarial papules and plaques. The American Journal of Medicine 2019 132, 52-54DOI: (10.1016/j.amjmed.2018.08.016) Copyright © 2019 Terms and Conditions

Figure 2 A perianal ulcer had yellow slough and surrounding erythema. The American Journal of Medicine 2019 132, 52-54DOI: (10.1016/j.amjmed.2018.08.016) Copyright © 2019 Terms and Conditions

Figure 3 A routine biopsy from a lesion on the patient's back demonstrated a polymorphous infiltrate of lymphocytes, eosinophils, and neutrophils consistent with a dermal hypersensitivity reaction (hematoxylin and eosin, 400x). The American Journal of Medicine 2019 132, 52-54DOI: (10.1016/j.amjmed.2018.08.016) Copyright © 2019 Terms and Conditions

Figure 4 A biopsy sample was retrieved from the edge of the patient's perianal ulcer. (A) A histologic examination showed suppurative and granulomatous inflammation with giant cells (hematoxylin and eosin, 200x). (B) Numerousacid-fast, rod-shaped mycobacteria were identified (Ziehl-Neelson stain, 600x). The American Journal of Medicine 2019 132, 52-54DOI: (10.1016/j.amjmed.2018.08.016) Copyright © 2019 Terms and Conditions