Zhang XiaoYan, Liu Jifeng
Department of Dermatology, Hangzhou Third People's Hospital, Affiliated Hangzhou Dermatology Hospital of Zhejiang University School of Medicine, Hangzhou, People's Republic of China.
Clin Cosmet Investig Dermatol. 2023 Sep 25;16:2659-2661. doi: 10.2147/CCID.S428884. eCollection 2023.
This work reports a case of a 49-year-old male suffering from chronic tuberculosis who developed painful ulcers around the anus for approximately eight months. The colonoscopy revealed the presence of ulcers in the transverse colon, which were also found in the skin and intestine, as revealed by microscopic examination. The skin ulcer was positive for tuberculosis bacilli, leading to the final diagnosis of Tuberculosis cutis orificialis. The patient had a previous history of tuberculosis, which indicated that the infection in the lungs moved down to invade the intestines and finally the skin.
本研究报告了一例49岁男性慢性肺结核患者,其肛门周围出现疼痛性溃疡约八个月。结肠镜检查显示横结肠存在溃疡,显微镜检查发现皮肤和肠道也有溃疡。皮肤溃疡结核杆菌检测呈阳性,最终诊断为口周皮肤结核。该患者既往有结核病史,提示肺部感染向下蔓延至肠道,最终累及皮肤。