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{{DiseaseDisorder infobox |
__NOTOC__
  Name        = Scrofula |
 
  ICD10      = A18.4 |
'''For patient information click [[Scrofula (patient information)|here]]'''
  ICD9        = {{ICD9|017.2}} |
}}
{{Scrofula}}
{{Scrofula}}


{{CMG}}; {{AE}} {{JH}}.


[[Image:Scrofula-andre-du-laurens-1609.jpeg|thumb|250px|left|King Henry IV of France touching a number of sufferers of scrofula who are gathered about him in a circle. André de Laurens, 1609]]
{{SK}} Tuberculous adenitis


==[[Scrofula overview|Overview]]==


==[[Scrofula historical perspective|Historical Perspective]]==


==[[Scrofula pathophysiology|Pathophysiology]]==


===Diagnosis===
==[[Scrofula causes|Causes]]==
[[Diagnosis]] is usually performed by [[needle aspiration biopsy]] or excisional [[biopsy]] of the mass and the histological demonstration of stainable [[acid-fast]] bacteria in the case of infection by ''M. tuberculosis'' ([[Ziehl-Neelsen stain]]), or the culture of NTM using specific growth and staining techniques.


===Therapy===
==[[Scrofula differential diagnosis|Differentiating Scrofula from other Diseases]]==
Treatment approaches are highly dependent on the kind of infection. Surgical excision of the scrofula does not work well for ''M. tuberculosis'' infections, and has a high rate of recurrence and formation of [[fistula]]e. Furthermore, surgery may spread the disease to other organs. The best approach then is to use conventional [[tuberculosis treatment|treatment of tuberculosis]] with [[antibiotics]]. Scrofula caused by NTM, on the other hand, responds well to [[surgery]], but is usually resistant to antibiotics. The affected nodes can be removed either by repeated aspiration, [[curettage]] or total excision (with the risk in the latter procedure, however, of causing cosmetically negative effects or damage to the [[facial nerve]], or both).


===Prognosis===
==[[Scrofula epidemiology and demographics|Epidemiology and Demographics]]==
[[Prognosis]]: with adequate treatment, clinical remission is practically 100%. In NTM infections, with adequate surgical treatment, clinical remission is greater than 95%. It is recommended that persons in close contact with the diseased person, such as family members, should undergo testing for tuberculosis.


==See also==
==[[Scrofula risk factors|Risk Factors]]==
* [[Tuberculosis diagnosis]]
* [[Tuberculosis treatment]]
* Touch Pieces


==Notes==
==[[Scrofula natural history, complications and prognosis|Natural History, Complications and Prognosis]]==
<references/>


==References==
==Diagnosis==
* Crawfurd, R.H.P., ''The King's Evil'', Oxford University Press, (Oxford), 1911.


==External links==
[[Scrofula history and symptoms|History and Symptoms]] | [[Scrofula physical examination|Physical Examination]] | [[Scrofula laboratory findings|Laboratory Findings]] | [[Scrofula CT|CT]] | [[Scrofula MRI|MRI]] | [[Scrofula ultrasound|Ultrasound]] | [[Scrofula other imaging findings|Other Imaging Findings]] | [[Scrofula other diagnostic studies|Other Diagnostic Studies]]
* [http://www.emedicine.com/ent/topic524.htm Scrofula] from eMedicine medical article


{{Bacterial diseases}}
==Treatment==


[[Scrofula medical therapy|Medical Therapy]] | [[Scrofula primary prevention|Primary Prevention]] | [[Scrofula secondary prevention|Secondary Prevention]] | [[Scrofula cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] | [[Scrofula future or investigational therapies|Future or Investigational Therapies]]


[[de:Skrofulose]]
==Case Studies==
[[fr:Écrouelles]]
[[Scrofula case study one|Case #1]]
[[wa:Må Sint-Marcou]]
[[pl:Skrofuloza]]


==Related Chapters==
* [[Tuberculosis diagnosis]]
* [[Tuberculosis treatment]]
[[Category:Disease]]
[[Category:Tuberculosis]]
[[Category:Tuberculosis]]
[[Category:Dermatology]]
[[Category:Dermatology]]
[[Category:Infectious disease]]
 


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Latest revision as of 18:44, 18 September 2017


For patient information click here

Scrofula Microchapters

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Overview

Historical Perspective

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Physical Examination

Laboratory Findings

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CT

MRI

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Jesus Rosario Hernandez, M.D. [2].

Synonyms and keywords: Tuberculous adenitis

Overview

Historical Perspective

Pathophysiology

Causes

Differentiating Scrofula from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms | Physical Examination | Laboratory Findings | CT | MRI | Ultrasound | Other Imaging Findings | Other Diagnostic Studies

Treatment

Medical Therapy | Primary Prevention | Secondary Prevention | Cost-Effectiveness of Therapy | Future or Investigational Therapies

Case Studies

Case #1

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