Novel Insights from Clinical Practice

Lemos T.a· Horwacz N.a· Baka J.a· Mourão A.a· Gripp A.a· Pires M.T.F.b· Ceccarelli M.A.a

Author affiliations

aDermatology, Pedro Ernesto University Hospital, Rio de Janeiro, Brazil
bMedical Clinic, Souza Marques Educational Technical Foundation, Rio de Janeiro, Brazil

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Article / Publication Details

First-Page Preview

Received: June 09, 2022
Accepted: July 13, 2022
Published online: August 26, 2022

Number of Print Pages: 3
Number of Figures: 4
Number of Tables: 0

ISSN: 2296-9195 (Print)
eISSN: 2296-9160 (Online)

For additional information: https://www.karger.com/SAD

Abstract

Introduction: Tuberculosis is a common infection caused by Mycobacterium tuberculosis in developing countries. Among the extrapulmonary forms of tuberculosis, cutaneous tuberculosis is rare, and even dermatologists are less familiar with its ungual manifestations. Case Presentation: We present an exuberant case of ungual tuberculosis in a patient with no personal or family history of immunosuppression, which is the first manifestation of the disseminated form of the disease. Conclusion: In our patient, the initial manifestation was related to the nail, probably originating from the progression of bone TB focus, which further progressed with respiratory symptoms and involvement of other organs. We believe this is the first case in which the ungual presentation allowed the diagnosis of disseminated tuberculosis.

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References World Health Organization, WHO. Global tuberculosis report. Available from: http://www.who.int/tb/publications/global_report/en/. Mann D, Sant’Anna FM, Schmaltz CAS, Rolla V, Freitas DFS, Lyra MR, et al. Cutaneous tuberculosis in Rio de Janeiro, Brazil: description of a series of 75 cases. Int J Dermatol. 2019 Dec;58(12):1451–9. Sousa A. Ungual tuberculosis: the unique clinical case. Skin Appendage Disord. 2019;5(6):1–4. Agarwal A, Agarwal S, Singh S, Nandwani S. Spina ventosa: an often missed diagnosis. J Glob Infect Dis. 2021;13(1):36–7. Khanna D, Chakravarty P, Agarwal A, Gupta R. Tuberculous dactylitis presenting as paronychia with pseudopterygium and nail dystrophy. Pediatr Dermatol. 2013 Nov–Dec;30(6):e172–6. Calado JOA, Miola AC, Silvares MRC, Marques SA. Disseminated tuberculosis associated with reactive arthritis of Poncet in an immunocompetent patient. An Bras Dermatol. 2020;95(3):343–6. Article / Publication Details

First-Page Preview

Received: June 09, 2022
Accepted: July 13, 2022
Published online: August 26, 2022

Number of Print Pages: 3
Number of Figures: 4
Number of Tables: 0

ISSN: 2296-9195 (Print)
eISSN: 2296-9160 (Online)

For additional information: https://www.karger.com/SAD

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