中国麻风皮肤病杂志 ›› 2026, Vol. 42 ›› Issue (1): 51-52.doi: 10.12144/zgmfskin202601051

• 病例报告 • 上一篇    下一篇

皮肤结核误诊为盘状红斑狼疮一例

王娟,周乐,黄洁,刘婧雅   

  1. 无锡市新瑞医院皮肤科，江苏无锡，214000
  • 出版日期:2026-01-15 发布日期:2026-01-15

Cutaneous tuberculosis misdiagnosed as discoid lupus erythematosus: a case report

WANG Juan, ZHOU Le, HUANG Jie, LIU Jingya   

  1. Department of Dermatology, Xinrui Hospital, Wuxi 214000, China
  • Online:2026-01-15 Published:2026-01-15

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摘要： 患者，女，64岁，右侧面部红色斑块43年，曾误诊为盘状红斑狼疮，给予激素及羟基氯喹治疗效果不佳。患者至我院就诊行皮损真菌镜检示阴性，T-SPOT阳性，TST阳性，皮损组织病理提示肉芽肿性改变，给予抗结核治疗后4个月，皮损好转。目前患者仍在随访中。

关键词: 皮肤结核, 盘状红斑狼疮, 抗结核治疗

Abstract: A 64-year-old female presented with a red patch on the right side of her face for 43 years. She was misdiagnosed with discoid lupus erythematosus and treated with hormones and hydroxychloroquine, but the treatment was ineffective. The patient presented to our hospital, where fungal smear of the skin lesion was negative, T-SPOT and TST were positive. Histopathological examination of the lesion indicated granulomatous changes. Four months after receiving anti-tuberculosis treatment, the skin lesion improved. The patient is currently under follow-up.

Key words: luposa tuberculosis, discoid lupus erythematosus, anti-tuberculous treatment