Cutaneous tuberculosis is a rare disease in industrialized countries. We present a case of scrofuloderma in an immunocompetent patient.

Case report

A 76 years old patient was presented with inflammatory nodules and retractile scars located in the right axilla.

Histopathology revealed epithelioid and giganto-cell inflammation and at the mycobacteriology exam acid-alcohol resistant bacilli were found. Antituberculosis treatment was performed with healing of the lesions.

Discussions

The clinical aspect of scrofuloderma of the case presented brought up the differential diagnosis with Verneuil disease,

especially important in the current context when treatment with anti-TNF-alpha is used in severe and refractory forms of Verneuil disease.