免疫抑制患者中表现为蜂窝织炎的皮肤结核

Cutaneous tuberculosis mimicking cellulitis in an immunosuppressed patient.

作者信息

Chin P W, Koh C K, Wong K T

机构信息

Department of Medicine, University of Malaya, Kuala Lumpur, Malaysia.

出版信息

Singapore Med J. 1999 Jan;40(1):44-5.

PMID:10361486

Abstract

A 28-year-old lady suffering from systemic lupus erythomatosus (SLE) with diffuse proliferative glomerulonephritis (DPGN) and who was on oral cyclophosphamide and prednisolone presented with left lower limb 'cellulitis'. The 'cellulitis' of the left lower limb failed to respond to usual antibiotics which prompted evaluation of the clinical diagnosis. The diagnosis is made based on the presence of granulomas, multinucleated giant cells and acid fast bacilli on the skin biopsy.

摘要

一名28岁患有系统性红斑狼疮（SLE）伴弥漫性增殖性肾小球肾炎（DPGN）的女性，正在接受口服环磷酰胺和泼尼松龙治疗，出现左下肢“蜂窝织炎”。左下肢的“蜂窝织炎”对常用抗生素无反应，这促使对临床诊断进行评估。诊断基于皮肤活检中发现肉芽肿、多核巨细胞和抗酸杆菌。