Abstract
A 77-year-old woman with scrofuloderma who had a past history of pleurisy and suspected intestinal tuberculosis at the age of 30 and 70, respectively, is reported. She developed a recalcitrant ulcer and fistule on the right chest reaching the hypochondriac muscle over the old tuberculosis lesion which was detected on the chest tomography. Treatment with RFP 300 mg and INH 400 mg daily for 10 months proved effective and resulted in some residual scar formation. We also reviewed 69 cases of scrofuloderma previously reported in the Japanese dermatological literatures over the last 20 years (from 1975 to 1994) concerning the current shift of predilection age and sites.
