M. Crisostomo, Karen Lee P Alabado, M. Lacuesta-Gutierrez
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引用次数: 0
摘要
我们报告一例11岁的女孩谁提出逐渐扩大的疣状斑块在左膝3年。体格检查显示左膝上有一个单发、微红斑、鳞状、疣状斑块，大小约1.5 cm × 2 cm。活检显示肉芽肿性皮炎与皮肤结核一致。诊断为皮肤疣状结核(TBVC)，开始用利福平、异烟肼、吡嗪酰胺和乙胺丁醇抗结核治疗2个月，随后用利福平和异烟肼治疗4个月。治疗结束后，只剩下一个轻微萎缩的疤痕，支持我们的诊断。本报告强调，在结核病高流行国家，慢性皮肤病变患者必须考虑TBVC。
Tuberculosis Verrucosa Cutis in an 11-year-old girl: A Case Report
We report a case of an 11-year-old girl who presented with a gradually enlarging verrucous plaque on the left knee for 3 years. Physical examination showed a solitary, slightly erythematous, scaly, verrucous plaque on the left knee measuring about 1.5 cm x 2 cm. Biopsy revealed granulomatous dermatitis consistent with cutaneous tuberculosis. A diagnosis of tuberculosis verrucosa cutis (TBVC) was made and anti-tuberculous therapy was initiated consisting of rifampicin, isoniazid, pyrazinamide and ethambutol for 2 months followed by rifampicin and isoniazid for 4 months. Upon completion of therapy, only a slightly atrophic scar remained, supporting our diagnosis. This report highlights TBVC must be considered in patients with chronic skin lesions in countries with high prevalence of tuberculosis.
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