Heo Young Soo, Shin Won Woong, Kim Yong Ju, Song Hae Jun, Oh Chil Hwan
Department of Dermatology, College of Medicine, Korea University, Seoul, Korea.
Ann Dermatol. 2010 May;22(2):226-8. doi: 10.5021/ad.2010.22.2.226. Epub 2010 May 18.
Cutaneous tuberculosis is an infrequent form of extrapulmonary tuberculosis. It is often clinically and histopathologically confused with various cutaneous disorders. A 36-year-old man attended our clinic with slowly progressive, asymptomatic, annular skin lesions on both the thighs and buttocks for 10 years. He consulted with many physicians and was improperly treated with an oral antifungal agent for several months under the diagnosis of tinea cruris, but no resolution of his condition was observed. A diagnosis of lupus vulgaris was made based on the histopathologic examination and the polymerase chain reaction assay. Anti-tuberculosis therapy was administered and the lesions started to regress.
皮肤结核是肺外结核的一种罕见形式。它在临床和组织病理学上常与各种皮肤疾病相混淆。一名36岁男性因双大腿和臀部出现缓慢进展、无症状的环形皮肤病变10年就诊于我们的诊所。他咨询了许多医生，并在股癣的诊断下接受了数月的口服抗真菌药物不当治疗，但病情未见缓解。基于组织病理学检查和聚合酶链反应检测，诊断为寻常狼疮。给予抗结核治疗后，病变开始消退。
