Concha R Marcela, Fich S Félix, Rabagliati B Ricardo, Pinto S Cristian, Rubio L Rocío, Navea D Oscar, González B Sergio
Departamento de Dermatología, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
Rev Chilena Infectol. 2011 Jun;28(3):262-8. Epub 2011 Jul 14.
Cutaneous tuberculosis is a chronic infectious disease caused by Mycobacterium tuberculosis. It is uncommon (1% of all cases of tuberculosis), but has increased due to the human immunodeficiency virus epidemic and to pharmacologic immunosuppression. It presents a wide variety of clinical forms depending on how bacteria reach the skin and on the immune status of the patient. We present two cases of cutaneous tuberculosis diagnosed in the Hospital Clínico de la Pontificia Universidad Católica de Chile. We emphasize the difficulty in diagnosis and classification of this disease and briefly discuss on the different diagnostic and therapeutic approaches.
皮肤结核是一种由结核分枝杆菌引起的慢性传染病。它并不常见(占所有结核病病例的1%),但由于人类免疫缺陷病毒流行和药物性免疫抑制而有所增加。根据细菌到达皮肤的方式以及患者的免疫状态,它呈现出多种临床形式。我们报告了在智利天主教大学临床医院诊断出的两例皮肤结核病例。我们强调了这种疾病在诊断和分类方面的困难,并简要讨论了不同的诊断和治疗方法。