Cutaneous tuberculosis, different clinical spectrum of the same disease: the importance of pre-test probability
Antecedents. This report presents three cases of Cutaneous tuberculosis CTB that were diagnosed at Calderon Hospital, Quito, Ecuador. The first case was Tuberculosis verrucosa cutis (TVC) in a 44-year-old man with circinated erythematous areas with ulcerated nodules and verruciform plaques from the...
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| Format: | Article |
| Language: | English |
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PAGEPress Publications
2024-01-01
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| Series: | Dermatology Reports |
| Subjects: | |
| Online Access: | https://www.pagepress.org/journals/index.php/dr/article/view/9770 |
| _version_ | 1797347365508612096 |
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| author | Carla Rosero Lucy Baldeón Valeria Alulema Adriana Rueda Lorena Vaca Daniela Galarza Cesar Prócel |
| author_facet | Carla Rosero Lucy Baldeón Valeria Alulema Adriana Rueda Lorena Vaca Daniela Galarza Cesar Prócel |
| author_sort | Carla Rosero |
| collection | DOAJ |
| description |
Antecedents. This report presents three cases of Cutaneous tuberculosis CTB that were diagnosed at Calderon Hospital, Quito, Ecuador. The first case was Tuberculosis verrucosa cutis (TVC) in a 44-year-old man with circinated erythematous areas with ulcerated nodules and verruciform plaques from the right lower limb to the hip. The second case was Lupus Vulgaris (LV) in a 50- year-old female with one-year history of pruritic dermatosis in the left ciliary area. The third case was Scrofuloderma in a 23-year-old man with erythematous nodules that drain caseous material at neck, thorax and axillary region. Almost all laboratory tests that were available turned out to have limitations as a diagnostic tool. Conclusion. In immunocompromised and high-risk individuals with atypical lesions, it is important to correlate clinical and epidemiological characteristics with the pretest probability in order to optimize indicators and determine or exclude out the diagnosis.
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| first_indexed | 2024-03-08T11:46:42Z |
| format | Article |
| id | doaj.art-a4e2da9bc7c34377916b767e8b61f37a |
| institution | Directory Open Access Journal |
| issn | 2036-7392 2036-7406 |
| language | English |
| last_indexed | 2024-03-08T11:46:42Z |
| publishDate | 2024-01-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | Dermatology Reports |
| spelling | doaj.art-a4e2da9bc7c34377916b767e8b61f37a2024-01-24T18:56:14ZengPAGEPress PublicationsDermatology Reports2036-73922036-74062024-01-0110.4081/dr.2024.9770Cutaneous tuberculosis, different clinical spectrum of the same disease: the importance of pre-test probabilityCarla Rosero0Lucy Baldeón1Valeria Alulema2Adriana Rueda3Lorena Vaca4Daniela Galarza5Cesar Prócel6Dermatology Postgraduate, Faculty of Medical Sciences, Central University of Ecuador, Quito; Dermatology Department, Calderón General Hospital, QuitoBiomedicine Research Institute, Central University of Ecuador, Quito; Faculty of Medical Sciences, Central University of Ecuador, QuitoBiomedicine Research Institute, Central University of Ecuador, QuitoBiomedicine Research Institute, Central University of Ecuador, QuitoDermatology Department, Calderón General Hospital, QuitoDermatology Department, Calderón General Hospital, QuitoInternal Medicine Department, Metropolitan Hospital, Quito Antecedents. This report presents three cases of Cutaneous tuberculosis CTB that were diagnosed at Calderon Hospital, Quito, Ecuador. The first case was Tuberculosis verrucosa cutis (TVC) in a 44-year-old man with circinated erythematous areas with ulcerated nodules and verruciform plaques from the right lower limb to the hip. The second case was Lupus Vulgaris (LV) in a 50- year-old female with one-year history of pruritic dermatosis in the left ciliary area. The third case was Scrofuloderma in a 23-year-old man with erythematous nodules that drain caseous material at neck, thorax and axillary region. Almost all laboratory tests that were available turned out to have limitations as a diagnostic tool. Conclusion. In immunocompromised and high-risk individuals with atypical lesions, it is important to correlate clinical and epidemiological characteristics with the pretest probability in order to optimize indicators and determine or exclude out the diagnosis. https://www.pagepress.org/journals/index.php/dr/article/view/9770Cutaneous tuberculosistuberculosis verrucosa cutislupus vulgarisscrofulodermadiagnostic methods |
| spellingShingle | Carla Rosero Lucy Baldeón Valeria Alulema Adriana Rueda Lorena Vaca Daniela Galarza Cesar Prócel Cutaneous tuberculosis, different clinical spectrum of the same disease: the importance of pre-test probability Dermatology Reports Cutaneous tuberculosis tuberculosis verrucosa cutis lupus vulgaris scrofuloderma diagnostic methods |
| title | Cutaneous tuberculosis, different clinical spectrum of the same disease: the importance of pre-test probability |
| title_full | Cutaneous tuberculosis, different clinical spectrum of the same disease: the importance of pre-test probability |
| title_fullStr | Cutaneous tuberculosis, different clinical spectrum of the same disease: the importance of pre-test probability |
| title_full_unstemmed | Cutaneous tuberculosis, different clinical spectrum of the same disease: the importance of pre-test probability |
| title_short | Cutaneous tuberculosis, different clinical spectrum of the same disease: the importance of pre-test probability |
| title_sort | cutaneous tuberculosis different clinical spectrum of the same disease the importance of pre test probability |
| topic | Cutaneous tuberculosis tuberculosis verrucosa cutis lupus vulgaris scrofuloderma diagnostic methods |
| url | https://www.pagepress.org/journals/index.php/dr/article/view/9770 |
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