Tuberculosis verrucosa cutis on the sole of the foot
Tuberculosis verrucosa cutis on the sole of the foot
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DOI：
10.1046/j.1365-2230.2002.00994.x
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发表时间：
2002-05-01
影响因子：
4.1
通讯作者：
du Vivier, A
中科院分区：
文献类型：
--
作者：
Gruber, PC;Whittam, LR;du Vivier, A
我们报告了一例不寻常的足底疣状皮肤结核病例，该病例在一名 62 岁的印度男性身上已存在 40 多年。他的 Heaf 测试呈 IV 级阳性，胸片正常。从病灶取的第三次活检中成功培养出结核分枝杆菌。该病例证明了病变的惰性性质，并强调了当高度怀疑结核分枝杆菌时，进行足够的活组织检查以进行微生物培养的重要性。皮肤结核疣的诊断应根据疾病的病史和演变、主要形态学特征和组织病理学特征。对抗结核药物的反应可能会有所帮助。
We report an unusual case of tuberculosis verrucosa cutis on the plantar aspect of the foot that had been present for more than 40 years in a 62-year-old Indian man. He had a grade IV positive Heaf test and a normal chest radiograph. Mycobacterium tuberculosis was successfully cultured from the third biopsy taken from the lesion. This case demonstrates the indolent nature of the lesion and stresses the importance of taking adequate biopsies for microbiological culture when there is a high index of suspicion for M. tuberculosis . The diagnosis of tuberculosis verrucosa cutis should be based on history and evolution of the disease, cardinal morphological features and histopathological characteristics. Response to anti-tuberculosis drugs may be of assistance.