Losada-López I, García-Gasalla M, Taberner R, Cifuentes-Luna C, Arquinio L, Terrasa F, Pérez M C
Servicio de Medicina Interna, Hospital Son Llàtzer, Palma de Mallorca, España.
Rev Clin Esp. 2012 Apr;212(4):179-83. doi: 10.1016/j.rce.2011.12.012. Epub 2012 Mar 5.
Tuberculosis is an important health care problem, even in our setting. The objective of this study is to describe clinic and epidemiological features of cutaneous tuberculosis in our area.
A retrospective study was performed of all patients diagnosed of cutaneous tuberculosis in a hospital in Mallorca (Spain) from January 2003 to July 2011. The clinical forms, diagnostic methods used, treatment used and clinical course were recorded.
Twenty-eight cases of cutaneous tuberculosis were diagnosed (5.9% of the tuberculosis cases diagnosed in this period), 15 with classic cutaneous tuberculosis (14 scrofuloderma, 1 empyema necessitatis) and 13 patients with tuberculids (8 erythema induratum of Bazin disease and 5 erythema nodosum). Scrofulodermas came from lymph nodes in 10 of the patients, infected bone in 4 and pleural in one case; 13/28 patients came from other continents. Most of the patients were treatment with 3-4 tuberculostatic drugs, with favorable course.
Cutaneous tuberculosis is not uncommon in our setting. In classic cutaneous tuberculosis culture is the gold standard diagnostic method while tuberculids are most commonly diagnosed by histology.
即便在我们所处的环境中，结核病仍是一个重要的医疗保健问题。本研究的目的是描述我们地区皮肤结核的临床和流行病学特征。
对2003年1月至2011年7月在西班牙马略卡岛一家医院诊断为皮肤结核的所有患者进行回顾性研究。记录临床类型、所用诊断方法、所用治疗方法及临床病程。
共诊断出28例皮肤结核病例（占同期诊断出的结核病例的5.9%），15例为典型皮肤结核（14例瘰疬性皮肤结核，1例胸壁结核性脓胸），13例为结核疹（8例巴氏硬结性红斑和5例结节性红斑）。10例瘰疬性皮肤结核患者的感染源来自淋巴结，4例来自感染骨，1例来自胸膜；28例患者中有13例来自其他大洲。大多数患者使用3 - 4种抗结核药物治疗，病程良好。
在我们所处的环境中，皮肤结核并不罕见。在典型皮肤结核中，培养是金标准诊断方法，而结核疹最常通过组织学诊断。
