Fig. 1 Clinical Appearance on the Left Leg before Therapy Fig. 2 Clinical Appearance after Therapy Fig. 3 Histopathological Features of the Skin Lesio

Ryoji KANDA, M.D. and Seiichiro HATA, M.D.

Fig. 1 Clinical Appearance on the Left Leg before Therapy Fig. 2 Clinical Appearance after Therapy Fig. 3 Histopathological Features of the Skin Lesion, Showing Non-caseating Granulomata in the Dermis (H. E. stain, ~ 100) Fig. 4 High Power View of Fig. 3, Tuberculid Infiltrate of Epitheliod Cells and Lymphocytes, with Some Multinucleated Langhans Cells in the Dermis (H. E. stain, ~ 400)

Fig. 5 Lymphocytic Infiltrate Surrounding the Sweat Gland (H.E. stain, ~100)

Haut-und Geschlechtskrankheiten, 10:311-346, 1931-Papules on the lower limbs of woman with cervical lymphadenopathy, Arch Der- 5. Graham-Brown RAC, Sarkany I: Br J Dermatol, 103:561-564, 1980 6. Papali C, Gangadharan C, Ramachandran P, Asokan PU: Tuberculids-a concept, 39, 276-279, 1973 7. Figueiredo A, Poiares-Baptista A, Branco M, 1. Rauschkolb JE: Tuberculosis of the skin. A Mota HC: Papular tuberculids post-bcg vaccination, clinical report, Arch Dermatol Syphilol, 29:398 Int J Derm, 26:291-294, 1987 407, 1934-8. Miescher G: Uber katamnestische Untersuchungen bei Fallen mit Tuberkulid, Dermatologica, 110:23, 1955-Lichen scrofulosorum, Brif J Der- 3. Smith NP, Ryan TJ, Sanderson KV, Sarkany I: Lichen scrofulosorum, Br J Dermatol, 94:319-325, 1976 4. Volk R: Lichen scrofulosorum, Handbuch der 9. Arianayagam AV, Ash S, Russell Jones R: Lichen scrofulosorum in a patient with AIDS, Clin Exp Dermatol, 19:74-76, 1994

A Case of Lichen Scrofulosorum Ryoji Kanda and Seiichiro Hata Department of Dermatology, Osaka Rosai Hospital 1179-3, Nagasonechou, Sakai, 591 Japan Yuko Ogido Department of Dermatology, Osaka Seamen's Insurance Hospital Key words: lichen scrofulosorum-tuberculid A 64-year-old woman, who suffered from pulmonary tuberculosis at 20 years of age and scrofuloderma-like symptoms on her right chest at 58 years of age, was treated with antituberculous therapy in another hospital. At 63 years of age, she developed many reddish brown lichenoid papules on the trunk and extremities, the size of which was smaller than a grain of rice, but these eruptions were not follicular papules. A diagnosis of lichen scrofulosorum was made based on her history of tuberculosis, strong positive reaction to a tuberculintest, non-caseating granuloma in the dermis and the disappearance of the eruption after commencing antituberculous therapy. Although lichen scrofulosorum is usually thought to be a rare tuberculid affecting children or young adults, some elderly patients developed these lesions associated with tuberculosis of lymph nodes. These erupstions were sometimes reported to be independent of hair follicles or sweat ducts. In this respect, our case was consistent with lichen scrofulosorum.