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Unusual case of cutaneous tuberculosis associated with rheumatoid arthritis: a case report and literature review
Author(s) -
Faghihi G.,
Yoosefi A.
Publication year - 2002
Publication title -
international journal of dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.677
H-Index - 93
eISSN - 1365-4632
pISSN - 0011-9059
DOI - 10.1046/j.1365-4362.2002.01680_2.x
Subject(s) - medicine , pyoderma gangrenosum , rheumatoid arthritis , prednisolone , tuberculosis , dermatology , skin biopsy , surgery , history of tuberculosis , arthritis , biopsy , pathology , disease
We report a 47‐year‐old female patient with a 10‐year history of rheumatoid arthritis who presented with painful ulcerative plaques on the extremities at our clinic in St. Zahra University Hospital on February 2001. These plaques, diagnosed as cutaneous leishmaniasis, were 2 years old, but the patient was without any cure from the specific treatment she had been prescribed. Later, these skin lesions were misdiagnosed as pyoderma gangrenosum and she was treated by high‐dose oral prednisolone, but she did not improve at all. After she was referred to our clinic, routine laboratory tests, PPD, chest X‐ray and skin biopsy with tissue cultures were carried out. Finally, her cutaneous lesions turned out to be cutaneous tuberculosis, which responded successfully to antituberculosis treatment.