中国麻风皮肤病杂志 ›› 2024, Vol. 40 ›› Issue (8): 583-585.doi: 10.12144/zgmfskin202408583

• 病例报告 • 上一篇    下一篇

多次误诊为结核和麻风的类脂质渐进性坏死一例

张帆1,2,周桂芝1,2,张福仁1,2   

  1. 1山东第一医科大学附属皮肤病医院，山东济南，250022；2山东省皮肤病性病防治研究所，山东济南，250022
  • 出版日期:2024-08-15 发布日期:2024-07-29

Necrobiosis lipoidica was misdiagnosed as tuberculosis and leprosy: a case report

ZHANG Fan1,2, ZHOU Guizhi1,2, ZHANG Furen1,2   

  1. 1 Hospital for Skin Diseases, Shandong First Medical University, Jinan 250022, China；2 Shandong Provincial Institute of Dermatology and Venereology, Shandong Academy of Medical Sciences, Jinan 250022, China
  • Online:2024-08-15 Published:2024-07-29

PDF (PC)

54

摘要： 类脂质渐进性坏死(necrobiosis lipoidica, NL)皮损临床表现多形性，组织病理可表现为裸结节，易与麻风、结核等感染性肉芽肿混淆，造成误诊。本文报道多次误诊为结核和麻风的类脂质渐进性坏死的患者一例。

关键词: 类脂质渐进性坏死, 组织病理, 鉴别诊断

Abstract: The clinical manifestations of necrobiosis lipoidica may be polymorphic, and the histopathological manifestations may be nodules, which is easy to be confused with infectious granulomas such as leprosy and tuberculosis, resulting in misdiagnosis. We report a female necrobiosis lipoidica patient who was repeatedly misdiagnosed as tuberculosis and leprosy.

Key words: necrobiosis lipoidica, pathology, differential diagnosis