【作者】 林存智； 朱新红； 牛娟娟； 郭榕；

【Author】 LIN Cun - zhi, ZHU Xin - hong, NIU Juan - juan, et al. Chest Hospital of Qingdao, Qingdao 266043 China.

【机构】 青岛市胸科医院结核科； 青岛大学医学院免疫学教研室；

【摘要】 [目的]探讨皮肤结核病的临床特点,分析误诊的原因,提高对皮肤结核的认识和诊断能力。[方法]对近八年来收治的19例皮肤结核病患者的临床资料进行回顾性分析。[结果]单纯性皮肤结核9例:额面部皮肤结核2例,手背部皮肤结核2例,外阴和肛周皮肤结核各1例,下肢胫前皮肤结核2例,腹部脐下皮肤结核1例。系统性红斑狼疮合并皮肤结核4例,风湿性关节炎合并皮肤结核3例,肾移植后并发肺结核合并皮肤结核2例, 肾结核合并阴囊皮肤结核1例。[结论]皮肤结核发病率较低,病程长,皮肤损害和临床表现多样化,容易造成误诊。对于临床上顽固的皮肤溃疡应考虑到结核杆菌感染的可能性。更多还原

【Abstract】 Objective To explore the clinical characteristic of tuberculosis cutis, and analysis the reason of misdiagnosed, improve the ability of diagnosing on tuberculosis. Methods Retrospective analyze 19 tuberculosis cutis patients in recent eight years. Results Nine cases were simply tuberculosis cutis:Two cases were facies frontalis tuberculosis cutis; Two cases were backs of hand tberculosis; Cunnus and crissum tuberculosiscutis was one respectively; Two cases were lower limb tuberculosis cutis; One was abdomen tuberculosis eutis. Four cases were systemic lupus erythematosus with tuberculosis cutis. Three cases were tubrculosis cutis with rheumaxthritis. Two cases were pulmonary tuberculosis with tuberculosis cutis after receiving renal transplantion. One was renal tuberculosis with skin of scrotum tuberculosis cutis. Conclusion The incidence of tuberculosis cutis is lower, which has long course of disease. The skin lesion and clinical manifestation are diversification, which easily causes misdiagnosed. The intractable skin lesion in clinical should be considered the possibility of Mycobacterium infection.更多还原