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Indian Dermatol Online J. 2012 Sep;3(3):190-2. doi: 10.4103/2229-5178.101817.

Lichen scrofulosorum: A diagnosis overlooked.

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Department of Skin-VD, Medical College and SSG Hospital, Vadodara, Gujarat, India.


Lichen scrofulosorum, also known as "tuberculosis cutis lichenoides," is a rare tuberculid that presents as a lichenoid eruption of minute papules in children and adolescents with tuberculosis. The lesions are usually asymptomatic, closely grouped, skin-colored to reddish-brown papules, often perifollicular, and are mainly found on the abdomen, chest, back, and proximal parts of the limbs. The eruption is usually associated with a strongly positive tuberculin reaction. Diagnosis of these lesions can be difficult, as they resemble many other dermatological conditions that are often primarily considered. We report a case of lichen scrofulosorum in an adult male without any focus of tuberculosis. He responded promptly to antitubercular therapy with complete clearance of lesions in one month.


Lichen scrofulosorum; anti-tubercular therapy; tuberculid

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