Choi Y C, Park Y S, Jeon E J, Song S H
Department of Otolaryngology Head and Neck Surgery, Our Lady of Mercy Hospital, College of Medicine, Catholic University of Korea, Inchon, Korea.
Rhinology. 2000 Jun;38(2):90-2.
Recent advances in chemotherapy have reduced the incidence of upper respiratory tract tuberculosis. Tuberculosis of the nose is mainly by secondary infection to pulmonary tuberculosis via contagious, hematogenous or lymphatic routes. Primary infection of the nose is rare but possible when self-cleansing mechanism and lysosomal activity, of the nose is lost. A 45-year-old Korean woman with the chief complaints of nasal obstruction, crusting, and recurrent episodes of epistaxis is presented. Physical examination of the nose revealed friable, easily bleeding masses with crusts on both sides of the septum. The appearance and consistency of the lesions were different from those of nasal polyps. Chest and sinu X-rays revealed no active lesions. Tuberculin skin test was positive and the biopsied specimen proved to be consistent with tuberculosis. Her condition improved after anti-tuberculous medication for about 6 months.
化疗方面的最新进展降低了上呼吸道结核病的发病率。鼻结核主要是通过接触、血行或淋巴途径继发于肺结核。鼻的原发性感染很少见，但当鼻的自我清洁机制和溶酶体活性丧失时则有可能发生。本文介绍了一名45岁的韩国女性，主要症状为鼻塞、结痂和反复鼻出血。鼻部体格检查发现鼻中隔两侧有易碎、易出血的肿块并伴有结痂。病变的外观和质地与鼻息肉不同。胸部和鼻窦X线检查未发现活动性病变。结核菌素皮肤试验呈阳性，活检标本证实为结核病。抗结核药物治疗约6个月后她的病情有所改善。
