中国麻风皮肤病杂志 ›› 2023, Vol. 39 ›› Issue (4): 280-282.doi: 10.12144/zgmfskin202304280

• 病例报告 • 上一篇    下一篇

皮肤结核误诊为结节病一例

朱莉1,侯李悦2,刘晶晶2,吕明芬2   

  1. 1温州市人民医院皮肤科，浙江温州，325000；
    2温州医科大学附属第一医院皮肤科，浙江温州，325000
  • 出版日期:2023-04-15 发布日期:2023-03-28

Long-term cutaneous tuberculosis misdiagnosed as sarcoidosis: a case report

ZHU Li1, HOU Liyue2, LIU Jingjing2, LYU Mingfen2   

  1. 1 Department of Dermatology, Wenzhou People's Hospital, Wenzhou 325000, China;
    2 Department of Dermatology, The First Affiliated Hospital, Wenzhou Medical University, Wenzhou 325000, China
  • Online:2023-04-15 Published:2023-03-28

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摘要： 患者，男，62岁。右下肢肿胀、结节、斑块鳞屑10余年，加重伴溃疡1年。曾误诊为结节病，予多种免疫抑制治疗后效果不佳。后经聚合酶链式反应技术从皮肤活检组织中检测出结核分枝杆菌复合体DNA，确诊为皮肤结核，治疗后皮损明显好转。

关键词: 皮肤结核, 免疫抑制治疗, 聚合酶链反应, 结节病

Abstract: A 62-year-old male presented with erythematous slightly squamous plaques and nodules on the right lower limb for more than 10 years, ulcers for 1 year. The patient had been misdiagnosed as sacroicosis and received mutiple immunosuppressive therapies without satisfactory result. At last, we made use of polymerase chain reaction and detected Mycobacterium tuberculosis complex DNA from skin biopsy tissue. The diagnosis of cutaneous tuberculosis was made and anti-tuberculosis treatment was effective.

Key words: cutaneous tuberculosis, immunosuppressive therapy, polymerase chain reaction, sarcoidosis