Scrofuloderma of the Penis: Unveiling a Rare Case of Cutaneous Tuberculosis

Tuberculosis (TB) is a major worldwide health concern, with 10.4 million new cases reported each year. Extrapulmonary tuberculosis (EPTB) accounts for 20% of all occurrences, with cutaneous tuberculosis (CTS) accounting for just 1-2%. Scrofuloderma is the most prevalent kind of secondary CTS, and it...

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Main Authors: Theo Audi Yanto, Edwin Raja Pardamean Lumban Tobing, Billie Edgara Herijanto, Jean Andrina Liem, Mohammad Zuhriansyah Sabran
Format: Article
Language:English
Published: Interna Publishing 2025-01-01
Series:Acta Medica Indonesiana
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Online Access:https://actamedindones.org/index.php/ijim/article/view/2921
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author Theo Audi Yanto
Edwin Raja Pardamean Lumban Tobing
Billie Edgara Herijanto
Jean Andrina Liem
Mohammad Zuhriansyah Sabran
author_facet Theo Audi Yanto
Edwin Raja Pardamean Lumban Tobing
Billie Edgara Herijanto
Jean Andrina Liem
Mohammad Zuhriansyah Sabran
author_sort Theo Audi Yanto
collection DOAJ
description Tuberculosis (TB) is a major worldwide health concern, with 10.4 million new cases reported each year. Extrapulmonary tuberculosis (EPTB) accounts for 20% of all occurrences, with cutaneous tuberculosis (CTS) accounting for just 1-2%. Scrofuloderma is the most prevalent kind of secondary CTS, and it commonly starts in the underlying lymph nodes, bones, or joints. Here, we describe the case of a 35 years old man presenting with a solitary nodule necrotic ulcer that happens 4 days before going to the hospital. The skin biopsy from the lesion was suggestive of TB scrofuloderma. Scrofuloderma typically presents as subcutaneous nodules that ulcerate and form sinus tracts. Diagnosis is challenging, often requiring histopathological confirmation due to potential negative microbiological results. In this case, the atypical penile appearance and the patient's history of an invasive operation aided in the diagnosis. Diabetes mellitus-related immune weakness increased the patient's susceptibility to cutaneous tuberculosis. This case demonstrates the wide range of cutaneous tuberculosis presentations and the significance of extensive diagnostic techniques, particularly in unusual patients. It also emphasizes the increased risk of tuberculosis in immunocompromised people, such as those with diabetes mellitus.
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spelling doaj-art-7ad1f178839e458e9149fd4067b3ba212025-08-20T03:10:21ZengInterna PublishingActa Medica Indonesiana0125-93262338-27322025-01-01571723Scrofuloderma of the Penis: Unveiling a Rare Case of Cutaneous TuberculosisTheo Audi Yanto0Edwin Raja Pardamean Lumban Tobing1Billie Edgara Herijanto2Jean Andrina Liem3Mohammad Zuhriansyah Sabran4Department of Internal Medicine, Universitas Pelita Harapan, Tangerang, Banten, IndonesiaDepartment of Urology, Universitas Pelita Harapan, Tangerang, Banten, IndonesiaFaculty of Medicine, Universitas Pelita Harapan, Tangerang, Banten, IndonesiaFaculty of Medicine, Universitas Pelita Harapan, Tangerang, Banten, IndonesiaFaculty of Medicine, Universitas Pelita Harapan, Tangerang, Banten, IndonesiaTuberculosis (TB) is a major worldwide health concern, with 10.4 million new cases reported each year. Extrapulmonary tuberculosis (EPTB) accounts for 20% of all occurrences, with cutaneous tuberculosis (CTS) accounting for just 1-2%. Scrofuloderma is the most prevalent kind of secondary CTS, and it commonly starts in the underlying lymph nodes, bones, or joints. Here, we describe the case of a 35 years old man presenting with a solitary nodule necrotic ulcer that happens 4 days before going to the hospital. The skin biopsy from the lesion was suggestive of TB scrofuloderma. Scrofuloderma typically presents as subcutaneous nodules that ulcerate and form sinus tracts. Diagnosis is challenging, often requiring histopathological confirmation due to potential negative microbiological results. In this case, the atypical penile appearance and the patient's history of an invasive operation aided in the diagnosis. Diabetes mellitus-related immune weakness increased the patient's susceptibility to cutaneous tuberculosis. This case demonstrates the wide range of cutaneous tuberculosis presentations and the significance of extensive diagnostic techniques, particularly in unusual patients. It also emphasizes the increased risk of tuberculosis in immunocompromised people, such as those with diabetes mellitus.https://actamedindones.org/index.php/ijim/article/view/2921scrofulofermatuberculosispenis
spellingShingle Theo Audi Yanto
Edwin Raja Pardamean Lumban Tobing
Billie Edgara Herijanto
Jean Andrina Liem
Mohammad Zuhriansyah Sabran
Scrofuloderma of the Penis: Unveiling a Rare Case of Cutaneous Tuberculosis
Acta Medica Indonesiana
scrofuloferma
tuberculosis
penis
title Scrofuloderma of the Penis: Unveiling a Rare Case of Cutaneous Tuberculosis
title_full Scrofuloderma of the Penis: Unveiling a Rare Case of Cutaneous Tuberculosis
title_fullStr Scrofuloderma of the Penis: Unveiling a Rare Case of Cutaneous Tuberculosis
title_full_unstemmed Scrofuloderma of the Penis: Unveiling a Rare Case of Cutaneous Tuberculosis
title_short Scrofuloderma of the Penis: Unveiling a Rare Case of Cutaneous Tuberculosis
title_sort scrofuloderma of the penis unveiling a rare case of cutaneous tuberculosis
topic scrofuloferma
tuberculosis
penis
url https://actamedindones.org/index.php/ijim/article/view/2921
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