Cutaneous tuberculosis in Indian children: the importance of screening for involvement of internal organs

摘要: Aims and objectives  Resurgence of skin tuberculosis especially with drug-resistant strains has been well documented in recent years, but this problem not received much attention the paediatric age group. Hence, we carried out present study to analyse clinical therapeutic aspects cutaneous children. Materials methods  A detailed examination, investigations, such as haemogram, serology for HIV, Mantoux test, chest X-ray, cytology, culture histopathology were all children. They treated antitubercular therapy (WHO regimen), response was followed up. Results  Of 142 patients tuberculosis, 68 children (40 females, 28 males). These aged from 9 months 14 years. The duration disease varied 1 month 6 years. Family history (41.2%) patients. Scrofuloderma most common presentation encountered 30 (44.1%) preferential involvement cervical (56.2%) inguinal (20%) regions. Fifteen (22.1%) had lupus vulgaris, which keratotic type (46.7%), 16 lichen scrofulosorum, three verrucosa cutis, four more than one tuberculosis. Involvement lung 14 (20.6%), bone seven (10.2%), both (5.9%) found. Histopathology corroborated diagnosis 54 (80.6%), positive six (8.8%). Fifty (73.5%) completed treatment an excellent response, no multidrug resistant cases seen. Conclusions  Cutaneous continues be important cause morbidity, there is a high likelihood internal involvement, scrofuloderma. search required sensitive, economic diagnostic tools. Response at 4 weeks often helps substantiating doubtful cases.