硬红斑1例

患者女，39岁。双下肢反复起红斑、结节5年余，结节渍破并溢出黄色液体，愈合后形成萎缩性瘢痕。PPD试验呈强阳性，胸部CT示双上肺陈旧性肺结核，皮损组织病理学检查示上皮样细胞、多核巨细胞、淋巴细胞组成的结核样结节。诊断：硬红斑。予利福平、异烟肼、乙胺丁醇和强的松口服治疗，疗效显著。...

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Bibliographic Details
Published in中国皮肤性病学杂志 Vol. 30; no. 4; pp. 393 - 394
Main Author 孟威威 黄楚君 刘炽 李红毅 陈达灿
Format Journal Article
LanguageChinese
Published 2016
Subjects
病理活检
硬红斑
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Summary:患者女，39岁。双下肢反复起红斑、结节5年余，结节渍破并溢出黄色液体，愈合后形成萎缩性瘢痕。PPD试验呈强阳性，胸部CT示双上肺陈旧性肺结核，皮损组织病理学检查示上皮样细胞、多核巨细胞、淋巴细胞组成的结核样结节。诊断：硬红斑。予利福平、异烟肼、乙胺丁醇和强的松口服治疗，疗效显著。
Bibliography:Erythema induratum; Pathology biopsy
A 39-year-old woman repeatedly presented with erythema and nodules on both lower limbs for more than five years. The nodules ruptured with yellowish liquid and atrophic scar formed after healing. PPD test was strongly positive. The chest CT showed both upper lung had oboslete tuberculosis. Histopathological and immunological examination showed tuberculous nodular was combined with epithelioid cells, multinuclear giant cells and lymphocyte. Diagnosis： erythema induratum. Treated with rifampin, isoniazid, ethambutol and prednisone. Outcome was remarkable.
MENG Wei-wei , HUANG Chu-jun, LIU Chi, LI Hong-yi, CHEN Da-can （ 1. The Second Clinical College of Guangzhou University of Chinese Medicine, Guangzhou 510405, China ; 2. Department of Dermatology, Guangdong Province Traditional Chinese Medicine Hospital, Guangzhou 510405, China）
61-1197/R
ISSN:1001-7089