Tuberculosis and Leprosy: Classical Granulomatous Diseases in the Twenty-First Century

Dermatol Clin. 2015 Jul;33(3):541-62. doi: 10.1016/j.det.2015.03.016.

Abstract

Leprosy and tuberculosis are chronic mycobacterial infections that elicit granulomatous inflammation. Both infections are curable, but granulomatous injury to cutaneous structures, including cutaneous nerves in leprosy, may cause permanent damage. Both diseases are major global concerns: tuberculosis for its high prevalence and mortality, and leprosy for its persistent global presence and high rate of neuropathic disability. Cutaneous manifestations of both leprosy and tuberculosis are frequently subtle and challenging in dermatologic practice and often require a careful travel and social history and a high index of suspicion.

Keywords: Atypical mycobacteria; Cell-mediated immunity; Granuloma; Hansen disease; Leprosy; Leprosy reaction; Lupus vulgaris; Tuberculosis.

Publication types

  • Review

MeSH terms

  • Antitubercular Agents / therapeutic use
  • Humans
  • Leprostatic Agents / therapeutic use
  • Leprosy / diagnosis
  • Leprosy / drug therapy
  • Leprosy, Lepromatous / diagnosis*
  • Leprosy, Lepromatous / drug therapy
  • Leprosy, Tuberculoid / diagnosis*
  • Leprosy, Tuberculoid / drug therapy
  • Lupus Vulgaris / diagnosis*
  • Lupus Vulgaris / drug therapy
  • Skin / pathology*
  • Tuberculosis, Cutaneous / diagnosis
  • Tuberculosis, Cutaneous / drug therapy
  • Tuberculosis, Miliary / diagnosis
  • Tuberculosis, Miliary / drug therapy

Substances

  • Antitubercular Agents
  • Leprostatic Agents