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| 皮肤结核误诊19例分析 | |
| 引用本文： | 李东妮,谭志建,任杰,李家文,刘凌,张丽霞.皮肤结核误诊19例分析[J].中国麻风皮肤病杂志,2005,21(4):268-270. |
| 作者姓名： | 李东妮 谭志建 任杰 李家文 刘凌 张丽霞 |
| 作者单位： | 1. 湖北省枝江市石化医院皮肤科 2. 华中科技大学同济医学院附属协和医院皮肤科,武汉,430022 3. 河南省平顶山市中心医院宝丰分院 |
| 摘 要： | 分析皮肤结核的误诊原因，探讨避免误诊的措施。方法：对收治的19例皮肤结核患者的临床资料进行回顾性分析。结果：本组误诊为结节病5例，孢子丝菌病4例，着色芽生菌病3例，湿疹2例，血管瘤2例，汗管瘤1例，结节性红斑1例。误诊率52.8%。结论：皮肤结核菌检查，结核菌素试验。结核菌的分子生物学检查均能协助诊断。 |
| 关 键 词： | 皮肤结核 分子生物学检查 着色芽生菌病 结核菌素试验 回顾性分析 孢子丝菌病 结节性红斑 结核菌检查 误诊原因 临床资料 协助诊断 结节病 误诊为 血管瘤 汗管瘤 |
Analysis of 19 Cases of misdiagnostic tuberculosis cutis |
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| LI Dong-ni. TAN Zhi-jian,REN Jie,at al.Analysis of 19 Cases of misdiagnostic tuberculosis cutis[J].China Journal of Leprosy and Skin Diseases,2005,21(4):268-270. | |
| Authors: | LI Dong-ni TAN Zhi-jian REN Jie at al |
| Institution: | LI Dong-ni. TAN Zhi-jian,REN Jie,at al . Department of Dermatology,Affiliated Union Hospital of Medical Colege of Middle China Science and Technology University,Wuhan,430022 |
| Abstract: | Objective: To analyze the reasons of misdiagnosis of tuberculosis cutis and to explore the measures to avoid the misdiagnosis. Methods:Ninteen cases with tuberculosis cutis-misdiagnosed were analyzed retrospectively. Results: Ninteeu eases were misdiagnosed as sarcoidosis (5 cases), sporotrichosis (4 cases), chromomycosis (3 cases) . eczema ( 2 cases) . hemagioma (2 cases) . syringoma ( 1 case) , erythema nodosum ( 1 ease ) and mammary paget's disease ( 1 case). The misdiagnose rate was 52.8% . Conclusion: The prevalence of tuberculosis cutis is lower and the skin lesions are various, so that it is easily misdiagnosed clinically. The doctors should pay much attention to the disease. The correct diagnosis was mainly made by histopathological examination and clinical menifestations. Meanwhile, the examination of mycobacterrum tuberculosis and molecular biology, and tuberculin test also can help in diagnosing the disease correctly. |
| Keywords: | tuberculosis cutis misdiagnosis |
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