中国麻风皮肤病杂志 ›› 2019, Vol. 35 ›› Issue (3): 140-143.doi: 10.12144/zgmfskin201903140

• 论著 • 上一篇    下一篇

20例皮肤结核临床病理分析

满春花1,2,3,4  卢宪梅2,3  周桂芝2,3  陈声利2,3  刘永霞2,3  王建文2,3  陈学超2,3  刘红2,3  张福仁1,2,3
  

  1. 1济南大学山东省医学科学院医学与生命科学学院,济南,250000
    2山东省皮肤病性病防治研究所，济南，250022
    3山东省皮肤病医院，济南，250022
    4山东省邹城市人民医院，邹城，250037
  • 出版日期:2019-03-15 发布日期:2019-04-04
  • 通讯作者: 张福仁，E-mail: zhangfuren@hotmail.com

A clinical and histopathological analysis of 20 cases with cutaneous tuberculosis

MAN Chunhua1,2,3,4, LU Xianmei2,3, ZHOU Guizhi2,3, CHEN Shengli2,3, LIU Yongxia2,3, WANG Jianwen2,3, CHEN Xuechao2,3, LIU Hong2,3, ZHANG Furen1,2,3   

  1. 1. School of Medicine and Life Sciences, University of Jinan－Shandong Academy of Medical Sciences, Jinan 250062, China; 2. Shandong Provincial Institute of Dermatology and Venereology, Jinan 250022, China; 3. Shandong Provincial Hospital for Skin Diseases, Jinan 250022, China; 4. Department of Dematology, Zoucheng People's Hospital, Zoucheng 273500, China
  • Online:2019-03-15 Published:2019-04-04
  • Contact: ZHANG Furen，E－mail: zhangfuren@hotmail.com

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摘要： 回顾性分析我院2012年1月至2018年3月确诊的20例皮肤结核的临床和病理资料，包括寻常狼疮（lupus vulgaris，LV）11例，疣状皮肤结核（tuberculosis verrucosa cutis，TVC）9例。男12例，女8例，平均年龄(51±13.1)岁，病程0.08～41年。LV皮损表现为暗红色斑块、斑片、结节，压诊呈苹果酱颜色，部分皮损可见萎缩。TVC表现为疣状增生斑块,部分有溢脓现象。4例LV和2例TVC组织病理检查见结核性肉芽肿。1例LV和2例TVC抗酸染色阳性。

关键词: 结核, 皮肤结核, 组织病理

Abstract: The clinical and histopathological features of 20 cases of cutaneous tuberculosis in our hospital from January 2012 to March 2018 were retrospectively analyzed, including 11 cases of lupus vulgaris (LV) and 9 cases of tuberculosis verrucosa cutis (TVC). There were 12 males and 8 females, with an average age of 51±13.1 years old and a course of 0.08-41 years. LV lesions were dark red plaque, patch, nodule, and the color of applesauce on pressure diagnosis. Some lesions showed atrophy. TVC lesions were characterized by verrucous hyperplasia plaque and some of them had pyorrhea. Histopathological examination showed tuberculous granuloma in 4 cases of LV and 2 cases of TVC. One LV case and two TVC cases were positive for acid fast staining.

Key words: tuberculosis, cutaneous tuberculosis, histopathology