Ramesh V
Department of Dermatology, Safdarjang Hospital, New Delhi, India.
Cutis. 1997 Oct;60(4):201-2.
Lingual tuberculosis presenting as macroglossia in a 20-year-old woman has been reported. The histopathologic picture was similar to lupus vulgaris and the intradermal tuberculin test showed a strongly positive vesiculobullous reaction after forty-eight hours. No active internal focus of tubercular infection could be detected. The patient responded well to antituberculous chemotherapy. The relative lack of symptoms suggest that the enlargement had been a slow process resulting from the lodging of bacilli in the tongue.
据报道，一名20岁女性出现巨舌症，病理诊断为舌结核。组织病理学表现类似于寻常狼疮，皮内结核菌素试验在48小时后显示强烈阳性的水疱大疱反应。未检测到活动性结核感染的体内病灶。患者对抗结核化疗反应良好。相对缺乏症状表明，肿大是一个由杆菌在舌部寄生导致的缓慢过程。
