Skin Tuberculosis Papulonecrotic

Papulonecrotic Skin Tuberculosis: Signs, Diagnosis and Treatment

Tuberculosis of the skin papulonecrotizing, also known as acnitis, hamburger tuberculoid or tuberculoid papulonecrotizing, is a rare form of cutaneous tuberculosis. It is a chronic infectious disease that affects the skin tissue and causes the formation of papules and necrotic ulcers.

A characteristic feature of papulonecrotic skin tuberculosis is the formation of papules on the skin, which over time become necrotic ulcers. These papules and ulcers usually occur on the face, neck, arms or legs. The appearance of papules may resemble acne or other skin diseases, making diagnosis difficult.

Diagnosis of papulonecrotizing cutaneous tuberculosis can be difficult, as symptoms can be similar to other skin diseases. Your doctor may order a number of tests, including culture tests, skin biopsies, antibiotic sensitivity tests, and x-rays, to confirm the diagnosis.

Treatment for papulonecrotizing cutaneous tuberculosis usually involves a combination of antibiotics such as rifampicin, isoniazid and pyrazinamide, which are the standard treatment regimen for tuberculosis. The duration of treatment can vary from several months to a year or more depending on the severity of the disease. In case of complications or non-productive treatment, surgery may be required.

In addition to drug therapy, it is important to take measures to prevent the spread of infection. This includes maintaining hand hygiene, isolating infected patients, and using masks and other protective measures when necessary.

Papulonecrotic skin tuberculosis is a rare and serious disease that requires timely diagnosis and adequate treatment. If characteristic symptoms appear, such as papules and necrotic ulcers on the skin, you should consult a doctor for diagnosis and appropriate treatment. Following your doctor's recommendations and taking preventive measures will help prevent the spread of infection and achieve a full recovery.



Skin tuberculosis is one of the common forms of tuberculosis. The first and most common clinical manifestation is a small pink inflammatory papule (tubercle) with serous (transparent) contents; subsequently, a pustule with purulent or serous-bloody contents forms in its center. Gradually it dries out, turns into a grayish-yellow crust and forms an ulcerative defect with remnants of the epidermis. Inflammatory tubercles can group, merge with each other, turning into merging large plaques. New rashes may appear around. Over time, papules can form conglomerates that resemble staphyloderma. The rashes often transform into papulosquamous syphilide-like lesions. A general blood test reveals leukocytosis, accelerated ESR, and changes in other indicators based on the type of cellular and humoral immune response.



**Skin tuberculosis** is a disease in which the dermal layer of the skin is damaged by Koch's bacterial agents. It is characterized by the penetration of pathogenic agents into the cells and tissues of the body, disruption of the functioning of the immune system and enzymatic systems. Next - the progression of dermatitis (ulceration of the skin), complicated by necrotic foci, cyanosis around them and the formation of crusts. The disease can have different manifestations and severity. Persons with reduced body resistance, exhausted, weakened by infectious diseases, systematic