Tulvatana W, Sansopha L, Pisarnkorskul P
Department of Ophthalmology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
J Med Assoc Thai. 2001 Jun;84 Suppl 1:S127-30.
Conjunctival tuberculoma is very rare in modern medicine. We report a case of a 34-year-old Thai female patient presenting with multiple peculiar conjunctival nodules. Two small nodules were excised and submitted for histopathological study, which showed discrete granulomatous inflammation with caseating necrosis. The acid-fast bacilli's staining for tuberculous bacteria was positive. There was no other organ involvement of active tuberculosis. The patient was then treated with systemic anti-tuberculous regimen for 6 months. The remaining lesions disappeared within the first few months of treatment. Conjunctival tuberculoma should always be considered in cases of conjunctival nodules.
结膜结核瘤在现代医学中非常罕见。我们报告一例34岁泰国女性患者，其出现多个奇特的结膜结节。切除了两个小结节并送去做组织病理学研究，结果显示为散在的肉芽肿性炎症伴干酪样坏死。结核杆菌的抗酸染色呈阳性。没有其他器官存在活动性结核。随后该患者接受了6个月的全身抗结核治疗方案。其余病变在治疗的头几个月内消失。对于结膜结节病例，应始终考虑结膜结核瘤。
