Clinical profile of childhood cutaneous tuberculosis in eastern India – A prospective study

Maitreyee Panda , Nibedita Patro , Mrutunjay Dash , Samarendra Mohapatro , Monalisa Jena
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引用次数: 2

Abstract

Background

Cutaneous tuberculosis is an important infectious public health problem in India. The increasing incidence of childhood cutaneous tuberculosis is a marker of active transmission of the disease in the community.

Materials and methods

All cases of cutaneous tuberculosis in patients ≤14 years of age were included in the study. After a thorough history taking and examination, the patients were subjected to necessary investigations. They were categorised into different type of cutaneous tuberculosis and were started on anti-tubercular therapy (ATT) accordingly.

Results

A total of 128 cases of cutaneous tuberculosis were identified within the study period. The clinical types identified in children in decreasing order of frequency were, lupus vulgaris, lichen scrofulosorum, tuberculosis verrucosa cutis, scrofuloderma, tuberculous gumma, miliary tuberculosis and papulonecrotic tuberculid. Multiple clinical types were seen in 7 patients.

Conclusion

A proper diagnosis of cutaneous tuberculosis is very important, as it responds very well to ATT and early diagnosis decreases the chances of complications.

印度东部儿童皮肤结核的临床概况-一项前瞻性研究
背景皮肤结核是印度一个重要的传染性公共卫生问题。儿童皮肤结核发病率的增加是该病在社区传播活跃的标志。材料与方法所有年龄≤14岁的皮肤结核患者均纳入研究。在详细的病史记录和检查后,对患者进行必要的调查。他们被分类为不同类型的皮肤结核,并开始抗结核治疗(ATT)。结果研究期间共发现皮肤结核128例。儿童临床类型由多到少依次为:寻常性狼疮、阴囊性青苔、疣状结核、阴囊性皮病、结核性龈肿、军性结核和丘疹性结核。7例患者出现多种临床类型。结论皮肤结核对ATT反应良好,早期诊断可减少并发症的发生,对皮肤结核的正确诊断至关重要。
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