Tuberculosis cutis miliaris disseminata A19.-

Author: Prof. Dr. med. Peter Altmeyer

All authors of this article

Last updated on: 29.10.2020

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Synonym(s)

Disseminated miliary tuberculosis of the skin; Disseminated skin tuberculosis; Miliary tuberculosis disseminated to the skin; Miliary tuberculosis of the skin; Tuberculosis Miliary tuberculosis disseminated to the skin

Definition
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Rare cutaneous manifestation in disseminated miliary tuberculosis), which occurs mainly in immunocompromised infants and small children. Also in persons with consuming diseases and diseases leading to immunodeficiency.

Etiopathogenesis
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In case of tuberculous primary effect, or in case of general miliary tuberculosis with haematogenous sowing of tubercle bacteria in case of an existing anergy of the organism due to co-infections or consuming diseases.

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Clinical features
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Numerous, densely standing, reddish-brown to reddish-blue, also haemorrhagic, 0.2-04 cm large, spots and/or papules. Tendency to form lesional necroses. The lesions are rich in pathogens. Healing results in whitish scars with a brownish border.

Diagnosis
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S.u. Tuberculosis.

Differential diagnosis
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Therapy
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S.u. Tuberculosis cutis luposa.

Progression/forecast
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Unfavourable, depending on the organ involvement.

Literature
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  1. Antinori S et al (1995) Tuberculosis cutis miliaris disseminata due to multidrug-resistant Mycobacterium tuberculosis in AIDS patients. Eur J Clin Microbiol Infect Dis. 14: 911-914
  2. Ko JH et al (2011) Acute tuberculosis cutis miliaris disseminata in a patient with systemic lupus erythematosus. Int J Dermatol 50:1279-1282

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Incoming links (5)

Malleus; Miliary tuberculosis, disseminated to the skin; Miliary tuberculosis of the skin; Syphilis miliaris ulcerosa mucosae; Tuberculosis, miliary tuberculosis, disseminated to the skin;

Outgoing links (9)

Abt-letterer-siwe disease; Adverse drug reactions of the skin; Cutaneous tuberculosis (overview); Langerhans cell histiocytosis (overview); Papel; Pityriasis lichenoides (overview); Syphilis (overview); Tuberculosis cutis luposa; Varicella;

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

Authors

Last updated on: 29.10.2020

Author: Prof. Dr. med. Peter Altmeyer Prof. Dr. med. Peter Altmeyer

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