Jain Vijay K, Aggarwal Kamal, Jain Sarika, Singh Sunita
Department of Dermatology, Venereology and Leprology, Pt. B.D. Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India.
Indian J Dermatol. 2009 Jul;54(3):287-9. doi: 10.4103/0019-5154.55644.
Lupus vulgaris is the most common form of cutaneous tuberculosis occurring in previously sensitized individuals with a high degree of tuberculin sensitivity. Various forms including plaque, ulcerative, hypertrophic, vegetative, papular, and nodular forms have been described. A 30-year-old male patient presented with a very large hypertrophic lupus vulgaris lesion over left side of chest since 22 years. Histopathological examination showed granulomatous infiltration without caseation necrosis. The Mantoux reaction was strongly positive. Hypertrophic lupus vulgaris of such a giant size and that too at an unusual site is extremely rare and hence is being reported.
寻常狼疮是皮肤结核最常见的形式，发生于先前致敏且结核菌素敏感性高的个体。已描述了多种形式，包括斑块状、溃疡性、肥厚性、增殖性、丘疹状和结节状。一名30岁男性患者自22年前起左侧胸部出现一个非常大的肥厚性寻常狼疮损害。组织病理学检查显示肉芽肿浸润，无干酪样坏死。结核菌素试验反应呈强阳性。如此巨大且位于不寻常部位的肥厚性寻常狼疮极为罕见，因此予以报道。
