Sahana Srihari, P. Ranugha, V. Shastry, J. Betkerur
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引用次数: 0
摘要
皮肤结核病(TB)是结核分枝杆菌慢性感染的结果。其临床表现多种多样,取决于多种因素的相互作用。结核病和恶性肿瘤是全球性的威胁,夺走了数百万人的生命,给全世界带来了巨大的痛苦。我们介绍了两例非典型、罕见的皮肤结核病例。瘰疬性皮肤病和寻常狼疮(LV)并发肺部粟粒性结核和皮肤结核的病例;一名 10 岁儿童 LV 并发 HIV 的不典型表现。像我们的患者这样免疫功能正常、无症状的人同时出现皮肤结核和内脏器官受累的情况非常罕见。在印度发表的儿童系列病例中,还没有人描述过皮肤结核合并艾滋病病毒感染的情况,我们的病例可能是首例此类报告。当务之急是,医生要有高度的怀疑精神,以便快速有效地诊断和治疗这些严重的皮肤病。
Atypical Rare Presentations of Cutaneous Tuberculosis: A Report of Two Cases
Cutaneous tuberculosis (TB) is the result of a chronic infection by Mycobacterium TB. The clinical manifestations are variable and depend on the interaction of several factors. TB and malignancy present global threats claiming millions of lives and inflicting formidable suffering worldwide. We present two cases of atypical, rare presentations of cutaneous TB. Cases of concurrent scrofuloderma and lupus vulgaris (LV) with miliary tuberculosis of the lung and cutaneous tuberculosis; atypical presentation of LV with concurrent HIV in a 10 year old child. Concurrent presentation of cutaneous TB with internal organ involvement is a rare entity in an immunocompetent asymptomatic individual like our patient. HIV coinfection with cutaneous TB has not been described in any of the childhood series published from India and ours is probably the first report of its kind. It is imperative that physicians have a high index of suspicion to quickly and effectively diagnose and treat these substantially morbid skin conditions.