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Pathogenesis
How there are 6 kinds of infections
1. Radiation directly to the skin of the organ
under the skin that has been subjected to
tuberculosis, for example Scrofuloderma
2. Inoculation directly on the skin around
the orifice of the tool in the subject to
tuberculosis, such as orificial tuberculosis
3. Radiation haematogenously, such as
acute miliary tuberculosis
Clinical Manifestation
Primary Inoculation Tuberculosis
Afek primer can be shaped papules,
pustules, or indolent ulcer, walled
resonated and surrounding livid
Incubation period of 2-3 weeks,
lymphangitis and lymphadenitis occur
several weeks after the primary affective,
at that time into a positive tuberculin
reaction
Lupus Vulgaris
According to Western literature, where
predilection in advance
In experience, more often located in the
body and extremities
In India, the most common place in the
buttocks
How infection may be endogenous or
exogenous
Scrofuloderma
The emergence Scrofuloderma per continuitatum
due to propagation of the organ under the skin that
has been attacked tuberculosis, the most common
are from limfonode and can also be derived from the
joints and bones
Therefore predilection place in places that many
found superficial limfonode, which is common in the
neck and then followed in the rare armpits and in
the groin
Orificial Tuberculosis
Synonyms is tuberculosis cutis ulserous
As the name implies, it is located around
orifice
In pulmonary tuberculosis can occur
ulcers in the mouth, lips, or in the
vicinity as a result of direct contact with
sputum
Tuberculous gumma
Tuberculosis cutis are caused by hematogenous
spread, usually of the lungs
Skin disorders such as gumma, namely
subcutaneous infiltrates, circumscribed and
chronic, then softened and destructive
Distinguished from other diseases that gummas
is syphilis, yaws, and deep mycosis, because it
must be performed histopathological
examination.
Lichen Scrofulosorum
Mainly found in children
Skin disorders consist of some papules billion, color
can be similar to the skin or redness (erythematous)
Initially composed of its own, then clusters composed
sirsinar, sometimes in the vicinity there are smooth
scaling
A predilection for the chest, abdomen, back and
sacrum area. Course of the disease can be months
and residive, if recovered not leave sicatrix
Papulonecrotic Tuberculid
Apart form the papulonecrotica, may also form
papulopustul
A predilection for the face, extensor limbs and torso
At first there were erythematous papules arising,
enlarges slowly, and then into pustules
Then break into crust and forming of necrotic tissue
within 8 weeks, and then healed and abandon sicatrix
Then comes the new lesions. Old disease can be
years
Erythema Nodosum
Skin disorder of nodes indolent mainly on
limb extensor
On it there is erythema
Many diseases that can also be members of
the clinical picture as E.N. often leprosy as
erythema nodosum leprosum, id reaction
due to streptococcus B hemolyticus,
systemic drug allergy, and rheumatic fever