Papulonecrotic Tuberculosis of the Skin in a Patient with Severe Concomitant Pathology

The article describes a case of papulonecrotic tuberculosis of the skin that has developed in
a patient with a severe form of pulmonary tuberculosis Tuberculosis of the skin (TS) is caused by
Mycobacterium tuberculosis of both types - M. Tuberculosis and M. bovis which often develops
with hematogenous or lymphogenic dissemination of infection from tuberculosis foci in the lungs,
lymph nodes, bones. Diagnosis of TC is based on a complex clinical and laboratory examination,
including microbiological, histological, immunological data. Detection of TC is diffi cult due to the
clinical and histomorphologicalpathomorphosis, the presence of atypical and erased forms, rare
detection of mycobacteria in the skin, as well as due to the rarity of the disease and lack of alertness
of clinicians.