Department of Dermatology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Department of Pulmonary Medicine, The First Affiliated Hospital, Chongqing Medical University, Chongqing, China.
Dermatol Ther. 2018 Jul;31(4):e12600. doi: 10.1111/dth.12600. Epub 2018 Apr 23.
Despite the high prevalence of pulmonary tuberculosis worldwide, extrapulmonary tuberculosis especially cutaneous and osteoarticular tuberculosis occurs rarely, both of which are often difficult to be recognized since their symptoms mimic those of many other cutaneous and osteoarticular diseases. Here, we present a rare case of cutaneous tuberculosis potentially accompanied by osteroarticular tuberculosis in a 36-year-old Chinese man who presented with multiple persistent skin ulcers for one year and were nonresponsive to multiple therapeutic approaches. A single anti-tuberculous regimen with rifampicin resulted in healing of all skin lesions and excellent recovery of the general condition.
尽管全世界肺结核的患病率很高，但肺外结核，尤其是皮肤和骨关节结核的发病率却很低，由于其症状与许多其他皮肤和骨关节疾病相似，因此两者通常都难以被识别。在这里，我们报告了一例罕见的皮肤结核病例，该病例可能伴有骨关节结核，患者为 36 岁的中国男性，他患有多发性持续性皮肤溃疡一年，且对多种治疗方法均无反应。利福平单一抗结核方案使所有皮肤病变愈合，整体状况恢复良好。
