Scrofuloderma with multiple organ involvement in a 5-year-old child

Cutaneous tuberculosis is a rare form of extrapulmonary tuberculosis seen i n children in developing countries. We report a 5-year-old child with cutan eous tuberculosis with involvement of lymph nodes, lungs, and the musculosk eletal and central nervous systems, which was not clinically obvious. Antit uberculous treatment led to marked clinical improvement. The importance of a thorough search for internal organ involvement in patients presenting wit h cutaneous tuberculosis is emphasized.