Kratule R V, Apine R Ia, Auzane M K
Probl Tuberk. 1991(8):49-51.
Case histories of 97 patients were analysed to study the diagnosis, differential diagnosis and incidence of recurrences of tuberculosis of the skin. A combined examination revealed Basin erythema in 57.7% of the patients, lupus vulgaris in 29.9% and papulonecrotic tuberculosis of the skin in 12.4%. Recurrences were recorded in 15.4% of the cases. Our study gives evidence that tuberculosis of the skin is diagnosed from the combined examination of the patient in which histologic study of a skin biopsy specimen is most essential. The differential diagnosis of tuberculosis of the skin makes difficult the distinction between the disseminated forms and allergic vasculitis and sarcoidosis of the skin. The relapse depends on how adequate the major and antirecurrence courses of antibacterial therapy were.
分析了97例患者的病历，以研究皮肤结核的诊断、鉴别诊断及复发率。综合检查发现，57.7%的患者有浸润性红斑，29.9%的患者有寻常狼疮，12.4%的患者有丘疹坏死性皮肤结核。15.4%的病例有复发记录。我们的研究表明，皮肤结核是通过对患者进行综合检查来诊断的，其中皮肤活检标本的组织学研究最为重要。皮肤结核的鉴别诊断难以区分播散型与过敏性血管炎及皮肤结节病。复发取决于抗菌治疗的主要疗程和抗复发疗程是否充分。
