Lemos Thayane, Horwacz Núria, Baka Jessica, Mourão Alice, Gripp Alexandre, Pires Marianna T F, Ceccarelli Miguel A
Dermatology, Pedro Ernesto University Hospital, Rio de Janeiro, Brazil.
Medical Clinic, Souza Marques Educational Technical Foundation, Rio de Janeiro, Brazil.
Skin Appendage Disord. 2023 Jan;9(1):61-63. doi: 10.1159/000526103. Epub 2022 Aug 26.
Tuberculosis is a common infection caused by in developing countries. Among the extrapulmonary forms of tuberculosis, cutaneous tuberculosis is rare, and even dermatologists are less familiar with its ungual manifestations.
We present an exuberant case of ungual tuberculosis in a patient with no personal or family history of immunosuppression, which is the first manifestation of the disseminated form of the disease.
In our patient, the initial manifestation was related to the nail, probably originating from the progression of bone TB focus, which further progressed with respiratory symptoms and involvement of other organs. We believe this is the first case in which the ungual presentation allowed the diagnosis of disseminated tuberculosis.
在发展中国家，结核病是一种常见的感染性疾病。在肺外结核形式中，皮肤结核较为罕见，甚至皮肤科医生对其指甲表现也不太熟悉。
我们报告一例指甲结核的典型病例，患者无个人或家族免疫抑制病史，这是播散性疾病的首发表现。
在我们的患者中，最初的表现与指甲有关，可能源于骨结核病灶的进展，随后出现呼吸道症状并累及其他器官。我们认为这是首例通过指甲表现确诊播散性结核病的病例。
