共查询到19条相似文献,搜索用时 46 毫秒
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临床资料患者,男,47岁。因左足部皮疹35年于2009年7月22日就诊于我科。患者于35年前无明显诱因于左足底出现一直径约2.0cm×2.0cm大小隆起性的皮疹,无不适及破溃,后皮疹渐扩大,表面有 相似文献
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报告1例疣状皮肤结核。患者男,39岁。右下肢膝关节内下方出现结节、红斑疣状增生、萎缩8年余。无明显自觉症状。皮肤组织病理:表皮角化不全,上皮细胞增生,部分区基底细胞松解,中性粒细胞浸润,真皮层内见由上皮样细胞、郎格罕氏细胞、淋巴细胞、浆细胞组成的肉芽肿性结节,其周围见组织细胞浸润,含铁血黄素沉积。 相似文献
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患者男,54岁。左手掌及腕部出现疣状结节及斑块10年余。皮损组织病理示表皮角化过度伴角化不全,假上皮瘤样增生,真皮浅层见结核样浸润,无明显干酪样坏死。结核菌素试验弱阳性,抗酸染色(-),皮损组织真菌培养(-)。诊断:疣状皮肤结核。 相似文献
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误诊为疣状皮肤结核的着色真菌病1例 总被引:2,自引:0,他引:2
患者男 ,49岁 ,农民 ,患病前从事拖拉机手的工作。 10年前无明显诱因发现右前臂伸侧出现数个红色结节样损害 ,触之较硬 ,无痒痛等不适。此后皮损逐渐发展至腕部 ,渐增多 ,并相互融合 ,形成斑块 ,表面凹凸不平。 3年前开始皮损明显扩大 ,病情加重 ,皮损时常破溃 ,并有少量脓性分泌物。患者曾数次就诊于当地医院 ,未做明确诊断 ,曾间断外用肤轻松、红霉素、克霉唑等无效。 1年前在当地医院做皮肤活检 ,诊断为“疣状皮肤结核” ,口服异烟肼治疗 1年 ,仍无效 ,遂来诊。家庭中其他成员无此类似病史。体检 :就诊时一般情况好 ,体温正常 ,全身浅表… 相似文献
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Rajesh Verma Biju Vasudevan Vijendran Pragasam Ambresh Badad 《Indian journal of dermatology》2014,59(4):422-Aug;59(4):422
Tuberculosis is probably as old as the human race itself. Cutaneous tuberculosis constitutes a very small proportion of extra pulmonary tuberculosis. Extensive, multifocal involvement of cutaneous tuberculosis is a very rare manifestation. We report one such case of extensive, multifocal tuberculosis verrucosa cutis in a 30-year-old immunocompetent male patient in the absence of any primary tubercular focus. 相似文献
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Tuberculosis cutis orificialis (TCO) is a rare manifestation of cutaneous tuberculosis that is caused by auto-inoculation of mycobacteria in patients with advanced internal tuberculosis. TCO occurs in oral, perianal, or genital mucosa and adjacent skin. The tongue is the most frequently affected site, but the perianal area can also be affected. A 39-year-old male presented with a 4-month history of painful ulcers on the perianal area. The histopathologic findings revealed granulomatous infiltrates composed of epithelioid cells and Langhans-type giant cells in the dermis, and a few acid-fast bacilli noted on Ziehl-Neelsen staining. The polymerase chain reaction (PCR) was positive for Mycobacterium tuberculosis and the chest X-ray showed findings consistent with active pulmonary tuberculosis in both upper lung zones. The skin lesion showed complete resolution 2 months after the start of treatment with antituberculosis agents. We report a case of TCO with perianal involvement in a patient with underlying active pulmonary tuberculosis. 相似文献
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误诊为皮肤结核的着色芽生菌病1例 总被引:2,自引:2,他引:0
患者男,52岁,病程20余年,主要为外伤后左下肢出现红斑、斑块,继发结节、疣状增生.以"皮肤结核"治疗,无效.后经组织病理及真菌培养确诊为着色芽生菌病,予系统抗真菌和热疗等. 相似文献
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患者男,53岁。肛周起丘疹、溃疡伴疼痛4年余。在外院诊断为"鲍温病",经放射治疗未愈。检查肛周见一10.5cm×7.0cm的溃疡面,表面高低不平,有暗红色、鲜红色、苍白色肉芽组织,边缘潜行。胸部X线示双上肺结核。结核菌素试验阳性。病理检查诊断为溃疡性皮肤结核。 相似文献
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Sangita Ghosh Kamal Aggarwal Vijay Kumar Jain Soumik Chaudhuri Epsita Ghosh Arshdeep 《Indian journal of dermatology》2014,59(1):80-81
Tuberculosis verrucosa cutis (TVC) is a common cutaneous form of paucibacillary tuberculosis in an individual with moderate to high degree of immunity to Mycobacterium tuberculosis infection. Clinical appearance of TVC is mostly very typical with well-defined warty plaques presenting mostly on hands, knees, ankle, and buttocks; however several atypical morphology of the lesions have also been described. We hereby report a case of TVC, masquerading as asymptomatic diffuse keratoderma of left foot for nine months, in an otherwise healthy individual, obstructing easy diagnosis of cutaneous tuberculosis. Diagnosis was confirmed by histopathology. 相似文献
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目的探讨复方倍他米松穴位注射联合口服阿维A及抗结核药物治疗皮肤结核的疗效。方法运用复方倍他米松穴位注射联合口服阿维A及抗结核药物治疗8例皮肤结核。结果4例患者4周皮损基本消退;3例患者6~8周皮损基本消退,仅1例患者11周皮损基本消退。结论复方倍他米松穴位注射联合口服阿维A及抗结核药物是治疗皮肤结核的一种有效的方法。 相似文献
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Congenital leukemia is a rare condition diagnosed at birth to 6 weeks of life with an estimated incidence of 4.7 per million live births. In a review, about 25~30% of cases were well documented as leukemia cutis. We report a case of a 3-month-old infant presented with asymptomatic multiple erythematous to bluish patches and nodules, which had developed about two months ago. Biopsy of the cutaneous lesions revealed immature cells which are overall monotonous with large kidney shaped nucleus, prominent nucleoli and moderate cytoplasm. These atypical cells stained positive for leukocyte common antigen, lysozyme and CD68. With this result, a congenital leukemia cutis was diagnosed. Six months later, she underwent cord blood stem cell transplantation. Seven months after the cord blood stem cell transplantation, the bone marrow examination revealed a normal result. Leukemia can be presented in the skin, the eruption may be nonspecific and it may precede systemic involvement. The recognition is important because early diagnosis can lead to appropriate treatment, followed by better prognosis. 相似文献