The Unusual Occurrence of Leukocytoclastic Vasculitis in Pulmonary Tuberculosis-Case Report

Prashant Hingolikar Ankita, Mukesh Shah Preet, B. Shah
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Abstract

We present a case of 19 year old girl who presented to us with 4 weeks history of anorexia, weight loss and acute onset (3 days) of papular rashes over both lower extremities and swelling and pain in ankle and knee joints. Broncho-alveolar lavage revealed presence of acid fast bacilli and culture showed growth of mycobacterium tuberculosis. Biopsy of the skin lesion revealed evidence of leukocytoclastic vasculitis with negative immunofluorescence. She responded well to antitubercular therapy with short course of steroids. Tuberculosis related cutaneous leukocytoclastic vasculitis is a rare and our case is unique in manifesting this presentation.
白细胞破壁性血管炎在肺结核中的罕见发生- 1例报告
我们报告一个19岁女孩的病例,她向我们提出了4周的厌食症,体重减轻和急性发作(3天)的丘疹,在双下肢和踝关节和膝关节肿胀和疼痛。支气管肺泡灌洗显示抗酸杆菌存在,培养显示结核分枝杆菌生长。皮肤病变活检显示白细胞破坏性血管炎,免疫荧光阴性。她对短期类固醇抗结核治疗反应良好。与结核相关的皮肤白细胞破裂性血管炎是一种罕见的疾病,我们的病例在表现上是独一无二的。
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