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Year : 1994  |  Volume : 60  |  Issue : 1  |  Page : 37

Segmental tuberculosis verrucosa cutis

Correspondence Address:
H Hanumanthappa

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A case of segmental Tuberculosis Verrucosa Cutis is reported in 10 year old boy. The condition was resembling the ascending lymphangitic type of sporotrichosis. The lesions cleared on treatment with INH 150 mg daily for 6 months.

Keywords: Skin Tuberculosis, Segmental, Warty

How to cite this article:
Hanumanthappa H. Segmental tuberculosis verrucosa cutis. Indian J Dermatol Venereol Leprol 1994;60:37

How to cite this URL:
Hanumanthappa H. Segmental tuberculosis verrucosa cutis. Indian J Dermatol Venereol Leprol [serial online] 1994 [cited 2020 Nov 30];60:37. Available from:

  Introduction Top

Tuberculosis verrucosa cutis is not a rare entity. Lesions occur on areas exposed to trauma and infected sputum or other tuberculous material. A case of accidental superinfection through a thorn prick leading to the lesion which spread segmentally resembling the ascending lymphangitic type of sporotrichois is described.

Rare forms like, deeply destructive (ulcerative) papillomatous, sclerotic [1]sub , and an exuberant granulomatous [2] have been described.

  Case Report Top

A 10-year-old boy presented with history of asymptomatic verrucous lesion over the lateral side of the (R) heal, followed by a thorn prick of 2 months duration. Gradually the verrucous lesions went on appearing in a linear pattern over the (R) lower limb. No history of cough, fever or weight loss. The boy wps vaccinated against tuberculosis. Cutaneous examination showed warty lesions over lateral aspect of (R) foot, medial aspect of the thigh and in the groin. Healed scars were seen over the outer aspect of the (R) thigh. Mantoux test was strongly positive. Chest x-ray was normal. Skin biopsy showed hyperkeratosis, acanthosis and papillomatoss and in the dermis well defined tubercular granulomas consisting of langhan gaint cells, necrosis and lymphocytic infiltration. PAS stain for fungus was negative.

Patient was given 150mg INH daily for 6 months; Warty lesions disappeared completely.

  Comments Top

Tuberculosis verrucosa cutis patients usually have moderate or high degree of immunity. Our patient had strongly positive Mantoux test to support this criteria. The usual form of warty tuberculosis is of localised verrucous type. Deeply destructive papillomatous and sclerotic forms which can cause deformity of limbs has been rarely reported.

Complete disappearance of warty lesions after the treatment with INH is strongly suggestive of tusercular etiology.

  References Top

1.Irgangs. Ulcerative Cutaneous lesions in Sarcoidosis. Br J Dermatol 1955; 67: 255-60.  Back to cited text no. 1    
2.Mitchell PG. Tuberculosis Verrucosa Cutis among Chinese in Hong Kong. Br J Dermatol 1954; 66 : 444-8.  Back to cited text no. 2    

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Ramesh, V.
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3 Sporotrichoid presentations in leprosy
Ramesh, V., Beena, K.R., Mukherjee, A.
Clinical and Experimental Dermatology. 2000; 25(3): 227-230
4 A study of cutaneous tuberculosis in children
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Pediatric Dermatology. 1999; 16(4): 264-269


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