By Gary M. White, MD

Several variants of tuberculous infection occur corresponding to the immunity of the individual.

High Immunity

Lupus Vulgaris

Tuberculosis Verrucosa Cutis

Intermediate Immunity

Oroficial type with periorificial ulcerations

Low Immunity

TB cutis miliaris disseminata


Tuberculosis may also be associated with tuberculids (no viable organsims in the skin). Tuberculids are probably caused by hematogenous spread of low numbers of bacilli or tubercular antigens in highly sensitive individuals. Any organisms that make it to the skin are either dead already or rapidly killed.

Erythema Induratum (Bazin's Disease)

Lichen Scrofulosorum Children or young adults with symptomatic red or red-brown papules.

Papulonecrotic Tuberculid Papulonecrotic lesions that heal with variolaform scars.

Lichenoid tuberculid eruptions.

Older individuals. PPD negative. Flat-topped, lichenoid lesions.


Homepage | FAQs | Use of Images | Contact Dr. White

It is not the intention of to provide specific medical advice, diagnosis or treatment. only intends to provide users with information regarding various medical conditions for educational purposes and will not provide specific medical advice. Information on is not intended as a substitute for seeking medical treatment and you should always seek the advice of a qualified healthcare provider for diagnosis and for answers to your individual questions. Information contained on should never cause you to disregard professional medical advice or delay seeking treatment. If you live in the United States and believe you are having a medical emergency call 911 immediately.