구진괴사성 결핵진을 동반한 결핵성 림프절염 1예

• Published in: Tuberculosis and respiratory diseases Vol. 62; no. 6; pp. 536 - 539
• Main Authors: 한태영, 김지영, 곽희원, 최재철, 신종욱, 김재열, 박인원, 김명남, 최병휘, Han, Tae Young, Kim, Ji Young, Kwak, Hee Won, Choi, Jae Chul, Shin, Jong Wook, Kim, Jae Yeol, Park, In Won, Kim, Myeung Nam, Choi, Byoung Whui
• Format: Journal Article
• Language: Korean
• Published: 대한결핵및호흡기학회 01.06.2007
• Subjects: 내과학; Tuberculous lymphadenitis; Papulonecrotic tuberculid
• ISSN: 1738-3536; 2005-6184

Lymphadenitis is a common manifestation in tuberculous diseases. However, papulonecrotic tuberculid is an uncommon cutaneous manifestation, and is considered an allergic reaction against tuberculous bacilli in tuberculous lesions other than the lymph nodes. A wide great variety of cutaneous manifestations arise over a period of a few weeks - i.e., papules, necrosis, crusted and atrophic scars. We described a 27-year-old woman with right cervical tuberculous lymphadenitis and skin lesions involving her arms, legs and both fingers. Histopathologically, a leukocytoclastic vasculitis with V-shaped epidermal necrosis was observed in the upper and deep dermis, including the good response to anti-tuberculosis therapy support the diagnosis of papulonecrotic tuberculid. 저자들은 경부 림프절 종대와 사지와 손가락의 홍반성 구진을 주소로 내원한 27세 여자 환자에게서 결핵성 림프절염과 구진괴사성 결핵진을 동시에 진단하고 항 결핵 요법을 통해 치유를 보인 1예를 경험하고, 구진괴사성 결핵진의 정확한 이해와 진단이 결핵 환자의 발견에 도움이 될 것으로 생각되어 문헌 고찰과 함께 보고하는 바이다.