A Chronic Multiple Site of Scrofuloderma: Is It Reactivation or Treatment Failure of Tuberculosis?

被引：0
|
作者：
Yang, Xianhong [1 ]
Ren, Yunlin [1 ,2 ]
Liu, Huachu [1 ,3 ]
Ten, Yan [1 ]
Ding, Yang [1 ]
Fan, Shasha [1 ]
Tao, Xiaohua [1 ]
Lu, Wei [1 ]
机构：
[1] Zhejiang Prov Peoples Hosp, Hangzhou Med Coll, Ctr Plast & Reconstruct Surg, Dept Dermatol,Affiliated Peoples Hosp, Hangzhou 310014, Peoples R China
[2] Zhejiang Chinese Med Univ, Clin Med Coll 2, Dept Dermatol & Venereol, Hangzhou 310053, Peoples R China
[3] Zhejiang Chinese Med Univ, Zhejiang Zhong Shan Hosp, Dept Dermatol & Venereol, Affiliated Hosp 3, Hangzhou 310009, Peoples R China
来源：
CLINICAL COSMETIC AND INVESTIGATIONAL DERMATOLOGY | 2023年 / 16卷
关键词：
case report; cutaneous tuberculosis; scrofuloderma; caseous necrosis; CUTANEOUS TUBERCULOSIS;
D O I：
10.2147/CCID.S422546
中图分类号：
R75 [皮肤病学与性病学];
学科分类号：
100206 ;
摘要：
We report a case of 32-year-old patient who presented with painless erythematous plaque gradually ulcerated for 9 years. He had a history of pulmonary tuberculosis 12 years ago and was cured by the treatment of 2HRZE/4HR. The laboratory examination of t-spot and PPD skin test was positive. Histopathology examinations of left cervical lymph node as well as skin revealed granulomatous inflammation with caseous necrosis. A diagnosis of scrofuloderma was made. Negative sputum culture and chest CT scan results excluded pulmonary tuberculosis. The patient was treated with a standard antituberculosis therapy and recovered well after 5 months' follow-up. Scrofuloderma is a rare manifestation of mycobacterial infection. Early diagnosis and treatment are very important.
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页码：2433 / 2436
页数：4
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