多发性阴囊皮病结核性趾炎1例。

IF 0.9 Q4 DERMATOLOGY
Case Reports in Dermatology Pub Date : 2022-07-08 eCollection Date: 2022-05-01 DOI:10.1159/000525464
Sri Linuwih S W Menaldi, Farah Faulin Lubis, Jhauharina Rizki Fadhilla, Sandra Widaty
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引用次数: 1

摘要

本文报告一例结核性趾炎合并多发性阴囊皮病经淋巴结扩散的病例。阴囊性皮病,也称为溃疡性皮肤结核,是一种皮肤结核(TB),最常见于儿童和年轻人,累及感染灶(即淋巴结、骨骼或关节)上方的皮肤。硬皮病可通过在肱骨、手腕和肘部传播结核骨髓炎影响下肢和上臂。本研究报告了一名19岁男性的病例,他最初出现皮肤疼痛和肿胀,随后在3年多的时间里,左臂、手、右脚以及折叠的右腿筋出现了许多反复出现的肿块。患者经抗生素治疗和手术切除后无临床改善。左手x线片显示结核性趾炎。左臂活检,Ziehl-Neelsen染色显示抗酸杆菌。实时聚合酶链反应证实结核分枝杆菌。开始使用利福平、异烟肼、吡嗪酰胺、乙胺丁醇等抗结核药物治疗,并对左手进行清创,病变明显改善。不典型的临床表现和对结核分枝杆菌作为潜在疾病的认识延误了该患者结核性趾炎和多发性硬皮病的诊断和治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Tuberculous Dactylitis in a Case of Multiple Scrofuloderma.

Tuberculous Dactylitis in a Case of Multiple Scrofuloderma.

Tuberculous Dactylitis in a Case of Multiple Scrofuloderma.

Tuberculous Dactylitis in a Case of Multiple Scrofuloderma.

This paper reports a case of tuberculous dactylitis and multiple scrofuloderma spreading through the lymph nodes. Scrofuloderma, also known as tuberculosis colliquativa cutis, is a form of cutaneous tuberculosis (TB) that occurs most often in children and young adults and involves the skin over the infection focus (i.e., lymph nodes, bones, or joints). Scrofuloderma can affect the lower limbs and upper arms by spreading osteomyelitis TB on the humerus, wrist, and elbow. This study reports the case of a 19-year-old man who initially developed painful and swollen skin, followed by the appearance of numerous recurring lumps on the left arm and hand and the right foot, as well as the folding right hamstring, over 3 years. The patient had no clinical improvement with antibiotics and excision. Radiography of the left hand showed tuberculous dactylitis. A biopsy of the left arm was performed, and Ziehl-Neelsen staining showed acid-fast bacilli. Mycobacterium tuberculosis was confirmed by a real-time polymerase chain reaction. Anti-TB drug treatment was initiated with rifampicin, isoniazid, pyrazinamide, and ethambutol, and debridement was performed on the left hand, which resulted in significant improvement of the lesion. Atypical clinical manifestations and unawareness of M. tuberculosis as an underlying disease delayed the diagnosis and treatment of this patient with tuberculous dactylitis and multiple scrofuloderma.

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来源期刊
CiteScore
1.60
自引率
0.00%
发文量
57
审稿时长
9 weeks
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