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耐多种药物寻常狼疮
引用本文:莫衍石,潘鹏,王立阳,杨应周.耐多种药物寻常狼疮[J].临床皮肤科杂志,2010,39(2).
作者姓名:莫衍石  潘鹏  王立阳  杨应周
作者单位:1. 深圳市慢性病防治中心皮肤性病科,广东深圳,518020
2. 深圳市慢性病防治中心肺科,广东深圳,518020
摘    要:报告1例耐多种药物寻常狼疮.患者男,41岁.肛周出现红斑、溃疡2年余.5年前曾患肺结核.皮损组织病理检查示真皮浅层可见结核结节,诊断为寻常狼疮,经规则抗结核治疗无效.组织人型结核分枝杆菌培养阳性.药敏试验对异烟肼、利福平等4种抗结核药耐药.提示为耐多种药物寻常狼疮.

关 键 词:寻常狼疮  耐药  多种药物

Lupus vulgaris infected with multi-drug resistant tuberculosis
MO Yan-shi,PAN Peng,WANG Li-yang,YANG Ying-zhou.Lupus vulgaris infected with multi-drug resistant tuberculosis[J].Journal of Clinical Dermatology,2010,39(2).
Authors:MO Yan-shi  PAN Peng  WANG Li-yang  YANG Ying-zhou
Abstract:A 41-year-old mall has been diagnosed as hpus vulgaris.Perianal erythema and ulcers have lasted for about 2 years while he began to have pulmonary tuberculosis 5 years ago.Histopathoiogical detection of lesion showed that tuberculous tubercle presented in shallow dermis.Lowenstein-Jensen culture with tissue fluid from Iesion was positive for bacillus tuberculosis typus humanus,Regular anti-TB treatment was not effective,which is identified as multidrug-resistant(MDR),including isoniazid,rifampicin,ethambutol and rifapentine.
Keywords:lupus vutgaris  resistance  multi-drug
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