Cutaneous tuberculosis represents a small percent of total extrapulmonary
TB forms, caused mainly by Mycobacterium tuberculosis.
Skin tuberculosis can be also highly variable in its clinical
appearance, significance, and prognosis. The form of the disease
depends on the virulence of the strain, the immune status of the
host, the portal of entry, the mode of internal spread, and the
adequacy of initial treatment. Lesions in the skin often represent
hematogenously or lymphatically dispersed disease from internal
foci of infection. Scrofuloderma and lupus vulgaris are much more
common and are seen in patients who are less immunosuppressed
and tuberculosis verrucosa cutis is highly seen in
patients who are immunocompetent. Leprosy (also known as
Hansen’s Disease) is a chronic, infectious disease involving
primarily the nerves and secondary the skin, mucosa and the eyes
of infected individuals. Leprosy is caused by Mycobacterium
leprae. Although this disease is curable since 1948, according to
WHO in 2013 there were registered 213.000 new cases of leprosy.
Considering the results of skin tests (biopsies, and secretions
tests) leprosy can be classified as: paucibacillary - few or absent
bacilli (tuberculoid leprosy, and borderline tuberculoid leprosy)
and multibacillary - numerous bacilli (lepromatous leprosy,
borderline lepromatous leprosy and borderline leprosy). Corroborating
clinical data with specific laboratory tests and biopsies of
the affected skin and nerves we establish the diagnosis and form
of these diseases; the tuberculin test has as correspondent
lepromin test. The treatment of cutaneous tuberculosis in most
cases is the same as for pulmonary tuberculosis. Early treatment
for leprosy prevents disabilities and scaring.
BT - Archives of the Balkan Medical Union C1 -
IS - 1 J2 - Arch Balkan Med Un LA - eng, fre N2 -
Cutaneous tuberculosis represents a small percent of total extrapulmonary
TB forms, caused mainly by Mycobacterium tuberculosis.
Skin tuberculosis can be also highly variable in its clinical
appearance, significance, and prognosis. The form of the disease
depends on the virulence of the strain, the immune status of the
host, the portal of entry, the mode of internal spread, and the
adequacy of initial treatment. Lesions in the skin often represent
hematogenously or lymphatically dispersed disease from internal
foci of infection. Scrofuloderma and lupus vulgaris are much more
common and are seen in patients who are less immunosuppressed
and tuberculosis verrucosa cutis is highly seen in
patients who are immunocompetent. Leprosy (also known as
Hansen’s Disease) is a chronic, infectious disease involving
primarily the nerves and secondary the skin, mucosa and the eyes
of infected individuals. Leprosy is caused by Mycobacterium
leprae. Although this disease is curable since 1948, according to
WHO in 2013 there were registered 213.000 new cases of leprosy.
Considering the results of skin tests (biopsies, and secretions
tests) leprosy can be classified as: paucibacillary - few or absent
bacilli (tuberculoid leprosy, and borderline tuberculoid leprosy)
and multibacillary - numerous bacilli (lepromatous leprosy,
borderline lepromatous leprosy and borderline leprosy). Corroborating
clinical data with specific laboratory tests and biopsies of
the affected skin and nerves we establish the diagnosis and form
of these diseases; the tuberculin test has as correspondent
lepromin test. The treatment of cutaneous tuberculosis in most
cases is the same as for pulmonary tuberculosis. Early treatment
for leprosy prevents disabilities and scaring.
PY - 2015 SP - 105 EP - 110 T2 - Archives of the Balkan Medical Union TI - A Comparison Between Cutaneous Tuberculosis And Leprosy UR - http://see-articles.ceon.rs/data/pdf/0041-6940/2015/0041-69401501105N.pdf VL - 50 ER -