Procházka J, Jirásek A, Homolka J, Růzek V, Skálová B, Schwarz J
I. interní klinik Fakultní nemocnice, Praha.
Vnitr Lek. 1994 Apr;40(4):231-6.
The authors describe a case of extrapulmonary tuberculosis with affection of the reticuloendothelial system in a 59-year-old female patient. After successful treatment the findings in the spleen, bone marrow and the laboratory results had normal levels. The authors draw attention to the diagnostic difficulties. They were able to confirm the diagnosis only by histological examination of biopsy from the pelvic bone. An interesting finding was eruption of lupus vulgaris on the legs in the course of treatment. The authors discuss some aspects of the disease and its differential diagnosis.
作者描述了一名59岁女性患者发生的累及网状内皮系统的肺外结核病例。成功治疗后，脾脏、骨髓的检查结果及实验室检查结果均恢复正常。作者提请注意诊断上的困难。他们仅通过对骨盆骨活检的组织学检查才得以确诊。一个有趣的发现是在治疗过程中患者腿部出现了寻常狼疮。作者讨论了该疾病的一些方面及其鉴别诊断。
