Sloan J B, Medenica M
University of Chicago, Department of Medicine, Illinois.
Pediatr Dermatol. 1990 Sep;7(3):191-5. doi: 10.1111/j.1525-1470.1990.tb00280.x.
Papulonecrotic tuberculid is a rare cutaneous manifestation of tuberculosis that can also be associated with other mycobacteria. Clinically, it is an asymptomatic, recurrent eruption of papules with a necrotic center in a symmetric, acral distribution. Tubercle bacilli are not present in skin biopsies. The eruption resolves promptly with antituberculoid therapy. Few patients with this entity have been reported in the United States over the last 50 years. We report a 9-year-old, otherwise healthy, American girl whose sole initial findings were lesions of papulonecrotic tuberculid secondary to Mycobacterium tuberculosis.
丘疹坏死性结核疹是结核病一种罕见的皮肤表现，也可能与其他分枝杆菌有关。临床上，它是一种无症状的、反复出现的丘疹，中心坏死，呈对称性、肢端分布。皮肤活检中不存在结核杆菌。抗结核样治疗可使皮疹迅速消退。在过去50年里，美国报道的患有这种疾病的患者很少。我们报告了一名9岁、身体健康的美国女孩，其最初唯一的发现是继发于结核分枝杆菌的丘疹坏死性结核疹病变。
