A rare association of tonsillar tuberculosis and lichen scrofulosorum

Abstract Background Both tonsillar tuberculosis and lichen scrofulosorum are sporadic presentations of extrapulmonary tuberculosis. Lichen commonly presents in children young adults as lichenoid eruptions over the skin. Granulomatous inflammation tonsils, however, non-specific sore throat foreign body sensation throat. The concomitant presentation abovementioned tubercular manifestations has not been reported literature. Case Herein, we report a case an 11-year-old male patient who presented with history recurrent ulcerative lesion tonsil. Systemic examination revealed multiple perifollicular trunk back. diagnosis was confirmed on histopathological findings epithelioid cell granulomas Langerhans giant cells following biopsy from tonsil skin lesions. Antitubercular therapy initiated soon after. responded to treatment early 6 weeks completely asymptomatic at 1 year follow-up. Conclusion A granulomatous tonsillitis should alert physician possibility underlying systemic In our case, coexistence helped us substantiate based report. Response antitubercular agents is excellent be started earliest.