{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:49:52Z","timestamp":1787071792047,"version":"build-2736575974"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>We report a rare case of penile papulonecrotic tuberculid (PNT) in a middle-aged male with idiopathic interstitial lung disease (ILD) on chronic steroids, presenting with recurrent, painless genital ulcers. Systemic evaluation revealed disseminated tubercular lymphadenitis as the primary focus. The patient was diagnosed with PNT based on clinical and histopathological findings, and tuberculosis was confirmed through imaging and cytology. This case highlights the diagnostic challenge of penile PNT, particularly in immunosuppressed individuals, and underscores the importance of comprehensive tuberculosis screening in patients with tuberculids, especially those with underlying chronic conditions like ILD.<\/jats:p>","DOI":"10.4103\/ijstd.ijstd_19_25","type":"journal-article","created":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T10:00:10Z","timestamp":1765360810000},"page":"216-219","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Penile ulcers unmasking disseminated tubercular lymphadenitis in a patient with idiopathic interstitial lung disease"],"prefix":"10.4103","volume":"46","author":[{"given":"Srishti","family":"Dabas","sequence":"first","affiliation":[{"name":"Department of Dermatology and Venereology, Maulana Azad Medical College, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vishal","family":"Gaurav","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Venereology, Maulana Azad Medical College, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deepika","family":"Yadav","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Venereology, Maulana Azad Medical College, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nita","family":"Khurana","sequence":"additional","affiliation":[{"name":"Department of Pathology, Maulana Azad Medical College, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reena","family":"Tomar","sequence":"additional","affiliation":[{"name":"Department of Pathology, Maulana Azad Medical College, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anju","family":"Garg","sequence":"additional","affiliation":[{"name":"Department of Radiodiagnosis, Maulana Azad Medical College, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,12,10]]},"reference":[{"key":"R1-20251210","doi-asserted-by":"crossref","first-page":"1453","DOI":"10.1177\/0956462417703027","article-title":"Tuberculosis of the glans penis: An important differential diagnosis of genital ulcer disease","volume":"28","author":"Singal","year":"2017","journal-title":"Int J STD AIDS"},{"key":"R2-20251210","doi-asserted-by":"crossref","first-page":"220","DOI":"10.4103\/0019-5154.44790","article-title":"Penile papulonecrotic tuberculid: Revisited","volume":"53","author":"Nath","year":"2008","journal-title":"Indian J Dermatol"},{"key":"R3-20251210","doi-asserted-by":"crossref","first-page":"1278","DOI":"10.1111\/ijd.15737","article-title":"Clinico-epidemiological profile of lichen scrofulosorum: A 22-year, single-center, retrospective study","volume":"60","author":"Singal","year":"2012","journal-title":"Int J Dermatol"},{"key":"R4-20251210","doi-asserted-by":"crossref","first-page":"132","DOI":"10.4103\/0253-7184.120559","article-title":"Papulonecrotic tuberculid of glans penis: A common disease at an uncommon site","volume":"34","author":"Dandale","year":"2013","journal-title":"Indian J Sex Transm Dis AIDS"},{"key":"R5-20251210","doi-asserted-by":"crossref","first-page":"1324","DOI":"10.1111\/j.1365-4632.2007.03429.x","article-title":"Papulonecrotic tuberculid of the glans: Worm-eaten appearance","volume":"46","author":"Srivastava","year":"2007","journal-title":"Int J Dermatol"},{"key":"R6-20251210","doi-asserted-by":"crossref","first-page":"e164","DOI":"10.1111\/jdv.13469","article-title":"Penile \u2018tuberculid\u2019: Could it be sexually acquired primary inoculation tuberculosis?","volume":"30","author":"Gupta","year":"2016","journal-title":"J Eur Acad Dermatol Venereol"},{"key":"R7-20251210","doi-asserted-by":"crossref","first-page":"7","DOI":"10.4103\/ijdpdd.ijdpdd_13_18","article-title":"Epithelioid cell granuloma","volume":"5","author":"Yadav","year":"2018","journal-title":"Indian J Dermatopathol Diagn Dermatol"},{"key":"R8-20251210","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1136\/thx.44.2.151","article-title":"Increased incidence of pulmonary tuberculosis in chronic interstitial lung disease","volume":"44","author":"Shachor","year":"1998","journal-title":"Thorax"},{"key":"R9-20251210","doi-asserted-by":"crossref","first-page":"100384","DOI":"10.1016\/j.jctube.2023.100384","article-title":"Clinical characteristics and outcome of Tuberculosis lymphadenitis in a tertiary center from Saudi Arabia","volume":"33","author":"Algarni","year":"2023","journal-title":"J Clin Tuberc Other Mycobact Dis"},{"key":"R10-20251210","doi-asserted-by":"crossref","first-page":"9316","DOI":"10.1186\/1752-1947-3-9316","article-title":"Tuberculous disseminated lymphadenopathy in an immunocompetent non-HIV patient: A case report","volume":"3","author":"Gerogianni","year":"2009","journal-title":"J Med Case Rep"}],"container-title":["Indian Journal of Sexually Transmitted Diseases and AIDS"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ijstd.ijstd_19_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:55:42Z","timestamp":1787068542000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ijstd.ijstd_19_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7]]},"references-count":10,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/ijstd.ijstd_19_25","relation":{},"ISSN":["2589-0557","2589-0565"],"issn-type":[{"value":"2589-0557","type":"print"},{"value":"2589-0565","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7]]},"assertion":[{"value":"2025-01-31","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-07-07","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}