【摘要】 报告1例耐多种药物寻常狼疮。患者男,41岁。肛周出现红斑、溃疡2年余。5年前曾患肺结核。皮损组织病理检查示真皮浅层可见结核结节,诊断为寻常狼疮,经规则抗结核治疗无效。组织人型结核分枝杆菌培养阳性。药敏试验对异烟肼、利福平等4种抗结核药耐药。提示为耐多种药物寻常狼疮。更多还原

【Abstract】 A 41-year-old man has been diagnosed as lupus vulgaris. Perianal erythema and ulcers have lasted for about 2 years while he began to have pulmonary tuberculosis 5 years ago. Histopathological detection of lesion showed that tuberculous tubercle presented in shallow dermis. Lowenstein-Jensen culture with tissue fluid from lesion was positive for bacillus tubercu-losis typus humanus, Regular anti-TB treatment was not effective, which is identified as multidrug-resistant(MDR), including isoniazid, rifampicin, ethambutol and rifapentine.更多还原