伪装成复发性边缘型结核样麻风的皮肤结节病？

Cutaneous sarcoidosis masquerading as relapsed borderline tuberculoid leprosy?

作者信息

Kaur S, Dhar S, Bambery P, Kanwar A J, Khajuria A

机构信息

Department of Dermatology, Venereology and Leprology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

出版信息

Int J Lepr Other Mycobact Dis. 1993 Sep;61(3):455-8.

PMID:8228445

Abstract

A patient with cutaneous sarcoidosis is presented. The patient was diagnosed initially as borderline tuberculoid leprosy downgrading to borderline lepromatous leprosy and received a full 2 years of World Health Organization multibacillary drug treatment (MDT). Bilateral hilar lymphadenopathy on chest X-ray and cutaneous anergy manifested by negative Mantoux, candidin and trichophytin skin tests suggested the diagnosis of sarcoidosis. Histopathology confirmed this diagnosis. The subcutaneous nodule seen in this patient is a rare type of cutaneous sarcoidosis.

摘要

本文报告了一例皮肤结节病患者。该患者最初被诊断为界线类偏结核型麻风，后降级为界线类偏瘤型麻风，并接受了整整两年的世界卫生组织多菌型药物治疗（MDT）。胸部X线显示双侧肺门淋巴结肿大，结核菌素试验、念珠菌素试验和毛癣菌素皮肤试验均为阴性，提示皮肤无反应性，这表明该患者患有结节病。组织病理学证实了这一诊断。该患者出现的皮下结节是一种罕见的皮肤结节病类型。