Diagnostic agents
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Diagnostic agents Skin eruptions in a child after undergoing a Heaf test: case report An 8-year-old boy, who presented with abdominal pain, weight loss and general malaise, underwent a laparotomy, which revealed a perforated terminal ileum requiring hemicolectomy. Findings from a histology of his caecum were consistent with tuberculosis. A Heaf test [dosage not stated] was placed postoperatively and showed a strong positive result. After 4 days, he developed papulovesicular lesions on his back, trunk and buttocks. The lesions were discrete, nonitchy, non-tender and continued enlarging. Quadruple anti tuberculosis therapy was started. Corticosteroids were given for 2 weeks [patient outcome not stated]. Author comment: "Papulonecrotic tuberculid is thought to be a hypersensitivity reaction to the mycobacterium. It is usually associated with a strongly positive tuberculin test and underlying systemic tuberculosis." Menon L, et al. Rash associated with Heaf test. Archives of Disease in Childhood 801045173 91: 670, No. 8, Aug 2006 - Wales
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Reactions 7 Oct 2006 No. 1122
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