CLINICAL CASE OF PAPULONECROTIC TUBERCULOSIS OF THE SKIN

Abstract

In the background of the increase in the incidence of tuberculosis, cases of extra pulmonary forms of infection, including rare localizations with skin lesions, have become more frequent. Tuberculosis of the skin (TS) is caused by Mycobacterium tuberculosis of both types - M. Tuberculosis and M. bovis which often develops with hematogenous or lymphogenic dissemination of infection from tuberculosis foci in the lungs, lymph nodes, bones. Diagnosis of TC is based on a complex clinical and laboratory examination, including microbiological, histological, immunological data. Detection of TC is difficult due to the clinical and histomorphologicalpathomorphosis, the presence of atypical and erased forms, rare detection of mycobacteria in the skin, as well as due to the rarity of the disease and lack of alertness of clinicians. A case of papulonecrotic tuberculosis of the skin (PNTS) in a teenage girl, long-term undiagnosed, despite the characteristic clinical symptoms and epidemiological history (contact with a patient with tuberculosis in the family), was described.