Monday 24 April 2017

Apple jelly nodules | NEET Based MCQ


Apple jelly nodules are seen in: 

A. Syphilis 
B. Lupus Vulgaris 
C. CSOM 
D. Menier’s disease


Ans. B. Apple jelly nodules are seen in Lupus Vulgaris.

• Apple jelly nodules are characteristic papular lesions of lupus vulgaris detected on diascopy.
• Apple jelly nodules are small, sharply defined reddish brown papules of gelatinous consistency seen in lupus vulgaris.
Lupus vulgaris:
• It is skin TB with no underlying active focus.
• Form of cutaneous TB common in children and young adults.
• Feature is indurated plaque, annular in shape.
• Heals with scarring, Blanching with glass slide (diascopy) reveals grey or green foci (Apple jelly nodules).
Scrofulodema: is skin TB secondary to involvement of underlying structure e.g. joint, lymph node.
Tuberculosis Verrucosa cutis: TB bacillus here is inoculated into skin and seen in TB patient,
Pathologists, Veterinary surgeons.
Tuberculosis cutis orifacialis: TB of orifices as oral cavity, anal canal, urogenital tract.
**Tuberculids don’t denote true TB but explain hypersensitivity reaction to Mycobacteruim tuberculosis.**