Jarrett P, Ford G
Department of Dermatology, Dewsbury District Hospital, Dewsbury, West Yorkshire, UK.
Clin Exp Dermatol. 1996 Jul;21(4):286-7. doi: 10.1111/j.1365-2230.1996.tb00096.x.
Mycobacterium kansasii, an atypical mycobacterium, is an uncommon cause of cutaneous and joint disease in immunocompetent patients. We report an unusual case of infection with this organism in a patient who initially presented with porphyria cutanea tarda (PCT), and who was noted also to have a crusted ulcer over the middle phalanx and swelling of the proximal interphalangeal joint of the right middle finger. The cutaneous ulcer healed with minocycline, but the joint disease required a combination of rifampicin and ethambutol before a therapeutic response was obtained.
堪萨斯分枝杆菌是一种非典型分枝杆菌，在免疫功能正常的患者中是皮肤和关节疾病的不常见病因。我们报告了一例该病菌感染的罕见病例，患者最初表现为迟发性皮肤卟啉病（PCT），且右手中指中节指骨有结痂溃疡，近端指间关节肿胀。皮肤溃疡用米诺环素治愈，但关节疾病在使用利福平和乙胺丁醇联合治疗后才出现治疗反应。
