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印度北部皮肤结核的模式

Pattern of Cutaneous Tuberculosis in North India.

作者信息

Kumar Bhushan, Kaur Surrinder

出版信息

Indian J Dermatol Venereol Leprol. 1986 Jul-Aug;52(4):203-207.

Abstract

Data on 66 patients with cutaneous tuberculosis seen over a period of 4 years was analysed. Males -predominated (71.6%) over females (28.4%). More than one f' patients were below the age of 10 years. Lupus vulgaris was the commonest type of disease pattern seen in 81.8% followed by scrofuloderma in 21.2%. Warty tuberculosis was the least common of all. Tuberculids seen were erythema nodosum in 3, papulonecrotic in 2, and lichen scrofulosorum in one. Face was involved most often (34.8%) followed by legs, buttocks, arms and neck. The number of legions varied from 2-7 in a quarter of patients. Organs other than skin were involved in 25.8% patients. Pulmonary involvement was the commonest followed by bone. CNS and lymph node involvement. , Almost half the patients were unvaccinated as were the BCG vaccinated patients. Mantoux test was negative in 27.2% patients. Characteristic tubercular histopathology was seen in 81.8% and in the rest it was non-specific.

摘要

对4年间收治的66例皮肤结核患者的数据进行了分析。男性占主导(71.6%),女性占28.4%。超过三分之一的患者年龄在10岁以下。寻常狼疮是最常见的疾病类型,占81.8%,其次是瘰疬性皮肤结核,占21.2%。疣状结核是所有类型中最不常见的。所见结核疹中,结节性红斑3例,丘疹坏死性结核疹2例,瘰疬性苔藓1例。面部受累最常见(34.8%),其次是腿部、臀部、手臂和颈部。四分之一的患者皮损数量为2至7个。25.8%的患者皮肤以外的器官受累。肺部受累最常见,其次是骨骼、中枢神经系统和淋巴结受累。几乎一半的患者未接种疫苗,接种卡介苗的患者也是如此。27.2%的患者结核菌素试验呈阴性。81.8%的患者可见特征性结核组织病理学表现,其余患者表现为非特异性。

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