中国麻风皮肤病杂志 ›› 2021, Vol. 37 ›› Issue (3): 168-169.doi: 10.12144/zgmfskin202103168

• 病例报告 • 上一篇    下一篇

皮肤结核一例

胡春宇1,2,李杨1,王园园1,李珊山1,田亚萍1   

  1. 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
  • 出版日期:2021-03-15 发布日期:2021-03-03
  • 通讯作者: 田亚萍，E-mail: yapingtian@163.com

Skin tuberculosis: a case report

HU Chunyu1,2, LI Yang1, WANG Yuanyuan1, LI Shanshan1, TIAN Yaping1   

  1. 1 Department of Dermatology and Venerology, 1st Hospital, Jilin University, Changchun 130021, China; 
    2 Department of Dermatology, Baicheng Central Hospital, Baicheng 137000,  China
  • Online:2021-03-15 Published:2021-03-03
  • Contact: TIAN Yaping, E-mail: yapingtian@ 163.com

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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

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. 

Key words: cutaneous tuberculosis, breast cancer, histopathology