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皮肤结核一例
引用本文:胡春宇,李杨,王园园,李珊山,田亚萍. 皮肤结核一例[J]. 中国麻风皮肤病杂志, 2021, 37(3): 168-169. DOI: 10.12144/zgmfskin202103168
作者姓名:胡春宇  李杨  王园园  李珊山  田亚萍
作者单位:1吉林大学第一医院皮肤性病科,吉林长春,130021;2白城中心医院皮肤科,吉林白城,137000
基金项目:吉林省教育厅“十三五”科学技术项目(编号:JJKH20190029KJ)。
摘    要:患者,女,64岁.颈部斑块结节8年,逐渐增大.患者8年前患乳腺癌,手术切除治疗.曾诊断为毛囊炎、孢子丝菌病、乳腺癌皮肤转移等,给予相应治疗未愈.组织病理学检查:真皮内结核性肉芽肿,结节中央可见干酪样坏死,抗酸染色阳性,PAS染色阴性,真菌培养阴性,PPD(+++).抗结核治疗后皮疹明显消退.

关 键 词:皮肤结核  乳腺癌  组织病理学

Skin tuberculosis:a case report
HU Chunyu,LI Yang,WANG Yuanyuan,LI Shanshan,TIAN Yaping. Skin tuberculosis:a case report[J]. China Journal of Leprosy and Skin Diseases, 2021, 37(3): 168-169. DOI: 10.12144/zgmfskin202103168
Authors:HU Chunyu  LI Yang  WANG Yuanyuan  LI Shanshan  TIAN Yaping
Affiliation:1 Department of Dermatology and Venerology, 1st Hospital, Jilin University, Changchun 130021, China; 2 Department of Dermatology, Baicheng Central Hospital, Baicheng 137000,  China
Abstract:A 64-year-old female presented with gradually enlarged plaque and nodule on the neck for 8 years.The patient was diagnosed with breast cancer 8 years ago and treated with excision.The patient had been diagnosed with folliculitis,sporotrichosis and skin metastases from breast cancer and had no response to the treatment.Histopathological examinaiton showed that there were tuberculous granuloma in dermis,caseous necrosis in the center of the nodule,positive acid-fast stain,negative PAS staining and fungal culture.Purified protein derivative(PPD)test was positive(+++).After anti-tuberculosis treatment,the rash regressed obviously.
Keywords:cutaneous tuberculosis  breast cancer  histopathology
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