Lupus skin tuberculosis (tuberculosis lupus, wolf) is the most common form of cutaneous tuberculosis. The disease is chronic, with the presence of nodular lesions, with a tendency to scarring and a significant reaction to tuberculin.
Skin lupus tuberculosis( tuberculosis lupus, wolf ) is the most common type of skin tuberculosis . It usually attacks during childhood and leaves ulcerations behind, followed by extensive uneven scarring. Years later - as a late complication of cutaneous lupus tuberculosis -squamous cell carcinoma .
Lupus skin tuberculosis - symptoms
The basic symptom of tuberculous lupus are primary skin changes - the so-called lupus nodules (soft, yellow-brown), which are usually located on the face, occupying the mucous membranes of the mouth and nose.
Lupus skin tuberculosis - breakdown
- flat variety - characterized by spontaneous scarring with the presence of tuberculous nodules within the scar forming, skin lesions do not show a tendency to ulcerate, the clinical course of this variety is extremely chronic
- ulcerative and outgrown variety - hypertrophy and secondary decay and damage to the wings of the nose and the auricles as a result of the aggressive course of the disease
- papillary variety - occurs with foci of accumulating scabs and mainly affects the skin of the limbs
Lupus skin tuberculosis - diagnosis
The diagnosis of the disease is based on the so-called symptom of diascopy, i.e. the appearance of light brown discoloration of the nodules after pressing them with a slide. The diagnosis is confirmed by a positive tuberculin test and the detection of tuberculous mycobacteria
Lupus skin tuberculosis - treatment
Drug treatment is applied. The drugs used to treat cutaneous tuberculosis are identical to those given for other types of tuberculosis. Preparations with anti-tuberculosis activity include: isoniazid, rifampicin, ethambutol, streptomycin, ethionamide and pyrazinamide.