Ranawaka Ranthilaka R, Abeygunasekara Priyanka H, Perera Eshanth, Weerakoon Hema S
Department of Dermatology, Teaching Hospital Anuradhapura, Sri Lanka.
Dermatol Online J. 2010 Aug 15;16(8):13.
Cutaneous tuberculosis (TB) can mimic other granulomatous diseases clinically and histopathologically. This case series relates images and workup of 20 patients who were histopathologically and therapeutically confirmed to have cutaneous TB. Although positive results of ESR, Mantoux reactivity, and TB cultures facilitate the clinical diagnosis, negative results should not exclude the diagnosis of cutaneous TB. An alternative cause should be considered if the clinical response to anti-TB drugs is inapparent within 2 months.
皮肤结核在临床和组织病理学上可与其他肉芽肿性疾病相混淆。本病例系列介绍了20例经组织病理学和治疗确诊为皮肤结核患者的影像及检查情况。虽然血沉、结核菌素反应及结核培养的阳性结果有助于临床诊断，但阴性结果不应排除皮肤结核的诊断。如果在2个月内对抗结核药物的临床反应不明显，则应考虑其他病因。
