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• Scrofuloderma is a rare presentation of cutane- ous tuberculosis in the UK. • Scrofuloderma presents typically as a dischar- ging sinus over significant cervical lymphadenop- athy. • Scrofuloderma is caused by contiguous spread of TB infection from underlying tissue through the overlying subcutis and skin. It is important to consider tuberculosis in the differential diagnosis of skin lesions, as tuberculosis prevalence is increas- ing due to its association with HIV infection and alsodoi:10.6084/m9.figshare.97510 fatcat:u4tmpa7kzffknktxel5ak6rjpy