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SCROFULODERMA
SCROFULODERMA
broken
Ulcers (elongated and irregular shapes, surrounded in a
bluish red (livid), the walls resonate, covered by a extand
Fistel
seropurulent pus)
Drying out
recover scars (elongated and
irregular, Sometimes above
a yellow crust the scars there is a skin
bridge)
Clinical Manifestation
Enlarged lymph nodes.
The lymph nodes will undergo softening, resulting in a supple and soft
consistency forming an abscess (cold abscess) that will penetrate the skin and
rupture to form a fistula.
Fistula extends into ulcers that are long and irregular, and the surrounding
colored bluish red (Livid), the walls resonate, the granulation tissue covered by
a seropurulent pus, if it dries into a yellow crust.
The ulcers can heal spontaneously into scars that are elongated and irregular.
Sometimes above the scars there is a skin bridge, the shape is like a rope with
both ends attached to the scars, until sonde can be inserted.
Clinical features of skrofuloderma vary depending on the duration of the
disease. If the disease has been chronic, then the clinical features are complete,
meaning that there are all abnormalities that have been mentioned. If the
disease is not chronic, then scars and skin bridges have not formed
Skrofuloderma disease in the neck
The interpretation
Lowenstein Jensen
Media is growth of
Mycobacterium species
on this medium.
Histopathology
Epithelioid
histiocytes
Langhans
Lymphocyte giant cells
s
Caseous
necrosis
DIFFERENTIAL DIAGNOSIS
Sporotrichosis
• Hyphae negative in
scrofuloderma
• Histopathology
sporotrichosis is
suppurative granuloma,
epithelioid granuloma,
tuberculoid granuloma
and foreign body
granuloma.
Hidradenitis SUPPURATIVA
• Microscopy of swabs of
lesions predominantly
has negative results.
• Histopathology
hidradenitis
suppurativa is sinus
lined with stratified
squamous cells and
inflammation of the
apocrine gland
ACTINOMYCOSIS
• Histopathology
actimocycosis is colonies
of actinomycosis species
and actinomycin granule
• Clinical images, pain,
swelling and draining
fistulas
Syphilitic gumma
Histopathology syphilitic
gumma is granulomatous
dermal infiltrate and ulcer
border
Tareatment
Treatment of tuberculosis kutis (skrofuloderma) in
principle the same as the treatment of pulmonary
tuberculosis, which uses a combination of several
drugs and given within a certain period.
Tahap Intensif (2 bulan)