| 扁平寻常狼疮一例 |
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| 引用本文： | 康玉英,张璐璐,林彤,王洪生,张彩萍,陈浩,顾恒. 扁平寻常狼疮一例[J]. 国际皮肤性病学杂志, 2009, 35(3). DOI: 10.3760/cma.j.issn.1673-4173.2009.03.004 |
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| 作者姓名： | 康玉英 张璐璐 林彤 王洪生 张彩萍 陈浩 顾恒 |
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| 作者单位： | 1. 中国医学科学院北京协和医学院皮肤病研究所,南京,210042
2. 江苏省中医院皮肤科 |
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| 摘 要： | 患者女,70岁,因胸背部红色斑片伴瘙痒2年就诊.皮损为胸背部大片红褐色浸润性斑片、丘疹、斑块,部分表面有血痂.皮损组织病理检查显示,真皮浅中部多数上皮样细胞团块,部分周边有淋巴细胞为主的炎细胞浸润;真菌镜枪及培养阴性;组织液行分枝杆菌培养8周显示阳性菌落生长,抗酸染色阳性.采用聚合酶链反应-限制性片段长度多态性(PCR-RFLP)分析,证实为结核分枝杆菌感染.根据患者的临床表现和实验室检查,诊断为扁平寻常狼疮.
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| 关 键 词： | 狼疮 分枝杆菌,结核 诊断 |
A case of lupus planus |
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| KANG Yu-ying,ZHANG Lu-lu,LIN Tong,WANG Hong-sheng,ZHANG Cai-ping,CHEN Hao,GU Heng. A case of lupus planus[J]. International Journal of Dermatology and Venereology, 2009, 35(3). DOI: 10.3760/cma.j.issn.1673-4173.2009.03.004 |
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| Authors: | KANG Yu-ying ZHANG Lu-lu LIN Tong WANG Hong-sheng ZHANG Cai-ping CHEN Hao GU Heng |
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| Abstract: | A 70-year-old woman was admitted for a 2-year-history,pruritic and erythematous patches on the chest and back.Skin examination showed large-sized,infiltrative and red-brown patches,papules,plaques,and some lesions were covered with blood crusts.Histopathologically,there were epithelioid histiocyte masses in the upper and middle dermis,lymphocytic infiltrate were observed around some masses.No fungus was found from clinical specimens by microscopy or culture.Biopsy specimens were positive for an 8-week mycobacterium culture and acid-fast bacilli,and the isolate was identified as Mycobacterium tuberculosis by PCR-restriction fragment length polymorphism(PCR-RFLP)analysis.The case was diagnosed as lupus planus according to clinical manifestation and laboratory tests. |
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| Keywords: | Lupus Mycobacterium tuberculosis Diagnosis |
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