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误诊为米舍尔肉芽肿性唇炎的边缘性结核样麻风：一例报告

Borderline tuberculoid leprosy misdiagnosed as Cheilitis Granulomatosa Miescher: A case report.

作者信息

Sitaula Seema, Mishra Aman, Chalise Sanat, Mishra Aakash

机构信息

Department of Dermatology and Venereology, Maharajgunj Medical Campus Tribhuvan University Institute of Medicine Kathmandu Nepal.

Maharajgunj Medical Campus Tribhuvan University Institute of Medicine Kathmandu Nepal.

出版信息

Clin Case Rep. 2022 Aug 9;10(8):e6240. doi: 10.1002/ccr3.6240. eCollection 2022 Aug.

DOI:10.1002/ccr3.6240
PMID:35957798
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9361795/
Abstract

Macrocheilia, as an initial manifestation of leprosy, is uncommon. We present a case of a 50-year-old female, with lower lip swelling, initially diagnosed as Cheilitis Granulomatosa Miescher. Unresponsiveness to local intralesional corticosteroids necessitated further evaluation. Repeat tissue sampling yielded a confirmatory diagnosis of borderline tuberculoid leprosy, which was managed successfully.

摘要

巨唇症作为麻风病的初始表现并不常见。我们报告一例50岁女性病例，其下唇肿胀，最初被诊断为米舍尔肉芽肿性唇炎。对局部病灶内注射皮质类固醇无反应，因此需要进一步评估。再次组织取样确诊为界线类结核样型麻风病，并成功治愈。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a5e/9361795/18f6d4d52197/CCR3-10-e6240-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a5e/9361795/410dc9615774/CCR3-10-e6240-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a5e/9361795/092215e3e58c/CCR3-10-e6240-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a5e/9361795/b358053e8c33/CCR3-10-e6240-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a5e/9361795/18f6d4d52197/CCR3-10-e6240-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a5e/9361795/410dc9615774/CCR3-10-e6240-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a5e/9361795/092215e3e58c/CCR3-10-e6240-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a5e/9361795/b358053e8c33/CCR3-10-e6240-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a5e/9361795/18f6d4d52197/CCR3-10-e6240-g001.jpg

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Borderline tuberculoid leprosy misdiagnosed as Cheilitis Granulomatosa Miescher: A case report.误诊为米舍尔肉芽肿性唇炎的边缘性结核样麻风：一例报告
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引用本文的文献

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本文引用的文献

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Leprosy in Nepal: a re-emerging threat.尼泊尔的麻风病：重新出现的威胁。
J Public Health Policy. 2021 Mar;42(1):176-181. doi: 10.1057/s41271-020-00260-z. Epub 2020 Oct 22.
2
Leprosy - an overview of clinical features, diagnosis, and treatment.麻风病——临床特征、诊断和治疗概述。
J Dtsch Dermatol Ges. 2017 Aug;15(8):801-827. doi: 10.1111/ddg.13301.
3
Leprous macrocheilia: A rare clinical presentation.麻风性巨唇：一种罕见的临床表现。
Contemp Clin Dent. 2015 Sep;6(Suppl 1):S285-8. doi: 10.4103/0976-237X.166830.
4
Histopathology of the lepromatous skin biopsy.麻风性皮肤活检的组织病理学
Clin Dermatol. 2015 Jan-Feb;33(1):38-45. doi: 10.1016/j.clindermatol.2014.10.003.
5
Borderline leprosy masquerading as cheilitis granulomatosa: a case report.伪装成肉芽肿性唇炎的边缘性麻风：一例报告
Lepr Rev. 2013 Mar;84(1):95-9.
6
Oro-facial aspects of leprosy: report of two cases with literature review.麻风的口腔颌面部表现：两例报告并文献复习。
Med Oral Patol Oral Cir Bucal. 2010 May 1;15(3):e459-62. doi: 10.4317/medoral.15.e459.
7
Chronic macrocheilia: a clinico-pathological study of 28 patients.慢性巨唇症：28例患者的临床病理研究
Clin Exp Dermatol. 2003 May;28(3):245-50. doi: 10.1046/j.1365-2230.2003.01284.x.