Klinik Kesihatan Bandar 32, Bera, Pahang, Malaysia.
International Islamic University, Kulliyyah of Medicine, Department of Family Medicine, Malaysia.
Med J Malaysia. 2021 May;76(3):419-421.
A 35-year-old lady presented at the Klinik Kesihatan Bandar 32 Bera, Pahang with a one-month history of multiple cervical swelling and ulcers over her neck area. The lesions began as papules and later progressively developed into nodules and pustules. She also had low grade fever associated with weight loss for one month duration. Chest xray revealed normal findings and sputum direct smear for acid fast bacilli was noted to be negative. Histopathologic finding of skin biopsy revealed central epidermal necrosis surrounded by granulomatous tissue forming an abscess and histiocyte infiltrates, confirming the diagnosis of Scrofuloderma. In view of the report of the fine needle aspiration cytology (FNAC) of the cervical lymph nodes suggestive for tuberculous lymphadenitis, the patient was given anti-tuberculosis therapy. Fortunately, six months later, the ulcers began to solve and heal gradually.
一位 35 岁的女士因颈部多个月来的肿胀和溃疡，到彭亨州 32 武吉班让市健康诊所就诊。这些病变最初是丘疹，后来逐渐发展成结节和脓疱。她还伴有低热和一个月的体重减轻。胸部 X 光检查结果正常，痰直接涂片抗酸杆菌检查为阴性。皮肤活检的组织病理学发现中央表皮坏死，周围是形成脓肿的肉芽肿组织和组织细胞浸润，证实了类肉瘤样皮肤结核病的诊断。鉴于颈部淋巴结细针抽吸细胞学（FNAC）报告提示结核性淋巴结炎，给予患者抗结核治疗。幸运的是，六个月后，溃疡开始逐渐愈合。
