【摘要】 报告1例误诊为结节病的皮肤结核。患者女,60岁。额部、左侧面部及右侧胸部紫红色隆起结节3年余。皮损组织病理检查:真皮及皮下组织大量融合性肉芽肿性病变,境界模糊,可见朗格汉斯样巨细胞形成,未见坏死。患者曾于外院诊断为结节病,并予糖皮质激素治疗4个月后结节缩小,但出现乏力、消瘦。肠镜检查发现肠穿孔,结肠组织病理检查提示结核。完善检查后,诊断为寻常狼疮、肠结核及肺结核等。更多还原

【Abstract】 A case of cutaneous tuberculosis misdiagnosed as sarcoidosis is reported. A 60-year-old female presented with purple protuberant nodules on her forehead, left cheek and right chest for more than 3 years. Histopathologic examination showed numer ous confluent granuloma and Langhans-like giant cells in the dermis and subcutaneous tissues without necrosis. The patient had been diagnosed with sarcoidosis in another hospital and underwent a 4-month oral corticosteroid therapy. Then emaciation and weakness presented despite the shrinking of the cutaneous nodules. Intestinal perforation was found by colonoscopy and the colon histopathology suggested tuberculosis. The diagnosis of lupus vulgaris, intestinal tuberculosis, pulmonary tuberculosis was made after a complete examination.更多还原