Scrofuloderma | Figure 1

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Scrofuloderma

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Woman in her 50's, no relevant priors except for multiple CVRF. Lesions on her nose for 1 year, slowly increasing in size. Started on doxycicline for 2 months with no improvement. A biopsy was done, which revealed granulomas with a marked lymphocytic imphyltrate, in a probable context of granulomatous rosacea. PCR for M. Tuberculosis was negative. We started her on isotretinoin 20 mg/day, with only mild improvement (first photo is after 2 months of isotretinoin, second photo when she presented to our department). Any suggestions?

A male in his 30's he is a sailor , complains from a painful lesion on his foot , it started as itchy and raised papule then it enlarged and became painful. throughout hx . .he gets tired fast and has shortness of breath, and he has occasional bleeding from his gums and a bullous appeared on his lips. no joint pain , no other physical findings. family hx of diabetes

Submental node in a female aged 18 years excision with histopathology studies diagnosing tuberculous lymphadenitis

A. On the left, a patient with severe papulonecrotic tuberculid of the face (acnitis). On the right the same patient after 7 arsphenamine injections. B. Woman with lymphocytic infiltration of the skin or sarcoids. First picture (l) is before treatment, second picture is after 12 arsphenamine injections (m), and third picture is after 18 injections (r). From the September 1921 issue of Medical Clinics of North America. Copyright © Elsevier, Inc.