Memin Y, Zurbach J, Mafart Y, Lesobre B, Piéron R, Hercend T
Sem Hop. 1980;56(3-4):121-3.
The authors report two cases of tuberculosis of the skull cap. The first in a Black African with heterozygous sickle cell disease also presenting with: tuberculosis of the cervical lymph nodes, subcutaneous frontal tumefactions bacteriologically confirmed to be of tuberculous origin, multiple lacunae of the vault from the same origin; the second case is an Asian woman having a multifocal tuberculous osteitis involving the skull, spine, pelvis and probably the same affection in the spleen. These cases are a reminder that the principal features of tuberculosis of the skull vault are very often associated with other tuberculous lesions, and to the problems of diagnosis it entails; the existence of a subcutaneous tumefaction of the vault or of any accessible site one can aspirate and/or perform biopsy constitutes a diagnostic aid.
作者报告了两例颅盖结核病例。第一例是一名患有杂合子镰状细胞病的非洲黑人，同时还伴有：颈部淋巴结结核、经细菌学证实为结核起源的额部皮下肿胀、同一来源的颅顶多发腔隙；第二例是一名亚洲女性，患有多灶性结核性骨炎，累及颅骨、脊柱、骨盆，脾脏可能也有同样病变。这些病例提醒我们，颅盖结核的主要特征常常与其他结核病变相关，以及由此带来的诊断问题；颅顶或任何可抽吸和/或进行活检的可及部位存在皮下肿胀有助于诊断。
