A Clinical and Histopathological Study of Varieties of Cutaneous TB and its Treatement Analysis

Dr. Rikeeta Deshmukh; Dr. Raju Chaudhary

Volume : III, Issue : VII, July - 2014

A Clinical and Histopathological Study of Varieties of Cutaneous TB and its Treatement Analysis

Dr. Rikeeta Deshmukh, Dr. Raju Chaudhary

Abstract :

OBJECTIVE-: To study the patterns of clinical presentation of various types of cutaneous tuberculosis(TB) and to assess the efficacy of ATT treatment. DESIGN-: 10year study of patients attending skin opd,Shardabeben hospital. RESULTS-: Cutaneous TB was found in 0.15% of patients with 3:2 male preponderance and majority being 21-30year age. Lupus vulgaris 36% was most common,followed by Tuberculous verrucosa cutis and scrofuloderma. Face involved in 36% patients followed by buttocks and trunk as most common sites.Study revealed Single lesion in 90% patients, BCG vaccination in75%,and Mantoux tested positive in 68% patients.Histopahologically correlation was important in clinically challenging cases.Diabetes was associated with 14%patients; hypertension with 7%patients;pulmonary TB was associated in 4%patients. All three diseases were found to be more common in Scrofuloderma. Disseminated disease was found more in unvaccinated patients and Scrofuloderma as compared to vaccinated and in other types.Patients were treated with ATT treatment category III regimen and followed up to find excellent recovery without relapse. CONCLUSION-: As cutaneous TB sometimes reflects the presence of pulmonary tuberculosis and some cases of cutaneous TB misleading as diagnosis of other skin condition; its incidence should not be ignored.