中国麻风皮肤病杂志 ›› 2021, Vol. 37 ›› Issue (4): 225-226.doi: 10.12144/zgmfskin202104225

• 病例报告 • 上一篇    下一篇

右上肢带状寻常狼疮一例

王鹏,王霞,陆原,李清   

  1. 华中科技大学协和深圳医院（深圳市南山区人民医院）皮肤科，深圳，518052
  • 出版日期:2021-04-15 发布日期:2021-04-07
  • 通讯作者: 王鹏，E-mail: wangpeng02@126.com

Lupus vulgaris on the right upper limb: a case report

WANG Peng, WANG Xia, LU Yuan, LI Qing   

  1. Department of Dermatology, Huazhong University of Science and Technology Union Shenzhen Hospital, Shenzhen 518052, China
  • Online:2021-04-15 Published:2021-04-07
  • Contact: WANG Peng, E-mail: wangpeng02@126.com

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摘要： 患者，男，18岁。右手背至前臂伸侧带状分布暗红斑、丘疹9个月。皮损组织病理示真皮上部可见较多上皮样细胞、淋巴细胞和多核巨细胞浸润形成结核样肉芽肿。诊断：寻常狼疮。治疗：给予标准四联抗结核 (异烟肼0.3 g/d，利福平0.45 g/d，吡嗪酰胺1.25 g/d，乙胺丁醇0.75 g/d)，6个月后皮损大部分变平、消退。

关键词: 寻常狼疮, 皮肤结核

Abstract: A 18-year-old male presented with the extension of reddish papules from the right hand back to the forearm for nine months. Histopathology revealed tuberculoid granulomas composed of epithelioid cells, lymphocytes, and Langhans giant cells in upper dermis. The diagnosis of lupus vulgaris was made. The patient was treated with standard four-drug antitubercular therapy (isoniazid 0.3 g, rifampicin 0.45 g, pyrazinamide 1.25 g, and ethambutol 0.75 g once a day). The lesions almost resolved after six months treatment.

Key words: lupus vulgaris, cutaneous tuberculosis