系统性红斑狼疮并发皮肤隐球菌病1例。

Pneumonologia polska Pub Date : 1990-09-01
H Halweg, M Korzeniewska-Koseła, B Podsiadło, P Krakówka
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引用次数: 0

摘要

这里提出了一个病例的妇女治疗免疫抑制制剂,因为系统性红斑狼疮的ski表现为结节和溃疡在躯干和四肢的皮肤。根据结节性皮肤标本的组织学检查和皮肤溃疡材料的真菌学检查,诊断为隐球菌病。疾病局限于皮肤,这是感染的入口。患者给予两性霉素B静脉滴注,氟西托辛静脉滴注。两性霉素B也局部应用。培养的结果逐渐变为阴性,直至从检测材料制备的直接标本中真菌细胞完全消失。治疗持续5个月后,仅在病变皮肤上观察到变色疤痕。
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[A case of skin cryptococcosis in systemic lupus erythematosus].

Here is presented a case of woman treated by immunosuppressive preparations because of systemic lupus erythematosus with ski manifestations as tubercles and ulcerations on skin of trunk and extremities. On the basis of histological examination of tubercle skin specimens and mycological examinations of material obtained from skin ulcerations cryptococcosis was diagnosed. Disease was limited to skin that was an entry of infection. Patient was treated by Amphotericin B administered intravenously and Flucitosine per os. Amphotericin B was also applied topically. The results of cultures became gradually negative, up to total disappearance of fungus cells in direct specimens, prepared from examined material. After treatment continuing for 5 months only discoloured scars were observed on sick skin.

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