Cutaneous Tuberculosis in Three HIV-Infected Patients

SIRI CHIEWCHANVIT, M.D.*, PONGSAK MAHANUPAB,M.D.**, PATRICIA F. WALKER, M.D.***

Affiliation : * Department of Medicine, **Department of Pathology, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand. ***Ramsey Clinic, 640 Jackson Street, St. Paul, MN 55101-2595, USA.

AbstractAlthough tuberculosis is a common disease in patients infected with HIV, cutaneous presentation is not commonly found. The authors report three HIV-infected patients with cutaneous tuberculosis and lung involvement. Patient 1 presented with a nodular skin lesion on the right forearm and the diagnosis was confirmed by histopathology and PCR study. Patients 2 and 3 pre- sented with generalized erythematous papules and vesicopustules on the trunk and extremities. Culture grew M. tuberculosis in patient 2 and M. tuberculosis DNA was detected in the skin lesion of patient 3 by the PCR method.

Keywords : Tuberculosis, Cutaneous, Skin, Miliary, Tuberculosis Cutis Miliaris Disseminata, HIV

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