播散性寻常狼疮揭示一名艾滋病毒患者合并多灶性肺结核：病例报告

Disseminated Lupus Vulgaris Revealing Multifocal Tuberculosis in a Patient with HIV: A Case Report.

作者信息

Paneerselvam Suba, Mohanan Saritha, Sethumadhavan Shanmathi, Banushree C S, Raj R Remya, Udayashankar C

机构信息

Junior Resident, Department of DVL, Indira Gandhi Medical College and Research Institute, Puducherry, India.

Associate Professor, Department of DVL, Indira Gandhi Medical College and Research Institute, Puducherry, India, Corresponding Author.

出版信息

J Assoc Physicians India. 2025 Jun;73(6):e30-e32. doi: 10.59556/japi.73.0915.

DOI:10.59556/japi.73.0915

PMID:40553605

Abstract

Lupus vulgaris is the most common type of cutaneous tuberculosis, known for its diverse clinical presentations, particularly in association with human immunodeficiency virus (HIV) infection. We report a case of disseminated lupus vulgaris with plaques and ulcerative morphology. Despite negative smear and culture results, histopathological examination revealed granulomatous reactions. Further evaluation, including lymph node biopsy and cartridge-based nucleic acid amplification test (CBNAAT), confirmed multifocal tuberculosis.

摘要

寻常狼疮是最常见的皮肤结核类型，以其多样的临床表现而闻名，尤其是与人类免疫缺陷病毒（HIV）感染相关时。我们报告一例具有斑块和溃疡性形态的播散性寻常狼疮病例。尽管涂片和培养结果均为阴性，但组织病理学检查显示有肉芽肿反应。进一步评估，包括淋巴结活检和基于 cartridge 的核酸扩增试验（CBNAAT），证实为多灶性结核病。