Dey Biswajit, Deshpande Archana Hemant, Bhat Sanjeev Hosdurg, Singh Ashok
Department of Pathology, Andaman and Nicobar Islands Institute of Medical Sciences, Port Blair, Andaman and Nicobar.
Department of Microbiology, Andaman and Nicobar Islands Institute of Medical Sciences, Port Blair, Andaman and Nicobar.
J Lab Physicians. 2018 Oct-Dec;10(4):457-459. doi: 10.4103/JLP.JLP_4_18.
Tuberculosis cutis orificialis (TCO) is a rare form of tuberculosis more often secondary to pulmonary tuberculosis. TCO has varied differential diagnoses and thus results in delayed diagnosis and treatment leading to serious consequences. The diagnosis of TCO is confirmed by biopsy and nucleic acid amplification tests in majority of cases. We report a case of TCO with underlying pulmonary tuberculosis in a 50-year-old male, who presented with a painful nonhealing ulcer of the right buccal mucosa. Biopsy and real-time polymerase chain reaction helped in confirming the diagnosis. The patient was treated with antitubercular therapy.
口周皮肤结核（TCO）是一种罕见的结核形式，多继发于肺结核。TCO有多种鉴别诊断方法，因此导致诊断和治疗延迟，从而产生严重后果。在大多数病例中，TCO通过活检和核酸扩增试验确诊。我们报告一例50岁男性口周皮肤结核合并潜在肺结核病例，该患者表现为右侧颊黏膜疼痛性不愈合溃疡。活检和实时聚合酶链反应有助于确诊。患者接受了抗结核治疗。
