EXTRA-PULMONARY TUBERCULOSIS IN LOTHIAN 1980-1989 - ETHNIC STATUS AND DELAY FROM ONSET OF SYMPTOMS TO DIAGNOSIS
EXTRA-PULMONARY TUBERCULOSIS IN LOTHIAN 1980-1989 - ETHNIC STATUS AND DELAY FROM ONSET OF SYMPTOMS TO DIAGNOSIS
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DOI：
10.1016/s0954-6111(05)80332-4
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发表时间：
1994-08-01
影响因子：
4.3
通讯作者：
LEITCH, AG
中科院分区：
文献类型：
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作者：
MOUDGIL, H;LEITCH, AG
我们回顾性地确定了 1980 年至 1989 年苏格兰洛锡安各族裔肺外结核 (ETB) 诊断的发病率和延迟情况。 874 份结核病通知中有 116 份 (13·3%) 涉及 ETB。有 87 条记录可用于分析：59 条平均年龄为 57·9 岁（范围 10-90）的白种人 (C)，28 条平均年龄为 30·3 岁（范围 10-86）的非白种人 (NC)。淋巴结核42例； 23 名（7M，16F）平均年龄 62 岁（范围 10-82）为 C，19 名（14M，5F）平均年龄 29 岁（范围 10-60）为 NC。淋巴结核是北卡罗来纳州 (67·9%) 和 C (39%) 中显着常见的 ETB 部位 (P<0·01)。在 24 例泌尿生殖结核病例中，23 例（14M，9F）平均年龄为 54 岁（范围 24-82）为 C 级，而 1 例 NC 男性年龄为 29 岁。泌尿生殖结核是 C (39%) 和 NC (3·6%) 中最常见的 ETB 部位 (P<0·001)。 11 名（5M，6F）C 发现骨和关节结核，平均年龄 55 岁（范围 28-86），而 5 名（3M，2F）NC 发现，平均年龄 36 岁（4-47）。还发现了 5 例腹部结核 (2C,3NC)。NC 中从症状出现到诊断为淋巴结核的延迟时间（平均 26 周，范围 0–156）明显长于 C 患者（平均 9 周，范围 2–28）（P<0·02）。对于 C 型，从症状出现到诊断的平均延迟时间为 20 周（范围 0-104）；对于骨关节结核，C 型延迟时间为 28 周（范围 4-104），NC 型延迟时间为 27 周（范围 4-104）。
We have retrospectively determined the incidence and delay in diagnosing extrapulmonary tuberculosis (ETB) by ethnic group in Lothian, Scotland, from 1980–1989. One hundred and sixteen (13·3%) of 874 TB notifications were for ETB. Eighty-seven records were available for analysis: 59 with a mean age of 57·9 years (range 10–90) were Caucasian (C) and 28 with a mean age of 30·3 years (range 10–86) were non-Caucasian (NC). There were 42 cases of lymphatic TB; 23 (7M,16F) with a mean age of 62 years (range 10–82) were C and 19 (14M,5F) with a mean age of 29 years (range 10–60) were NC. Lymphatic TB was a significantly commoner ETB site in NC (67·9%) cf C (39%) (P<0·01). Of 24 cases of genito-urinary TB, 23 (14M,9F) with a mean age of 54 years (range 24–82) were C compared to one NC male aged 29 years. Genito-urinary TB was a significantly commoner ETB site in C (39%) cf NC (3·6%) (P<0·001). Bone and joint TB was found in 11 (5M,6F) C with a mean age of 55 years (range 28–86) compared to five (3M,2F) NC with a mean age of 36 years (4–47). Five cases of abdominal TB (2C,3NC) were also identified.Delay from onset of symptoms to diagnosis for lymphatic TB was significantly longer for NC (mean 26 weeks, range 0–156) than for C (mean 9 weeks, range 2–28) (P<0·02). The mean delay from onset of symptoms to diagnosis for genito-urinary TB was 20 weeks (range 0–104) for C and for bone and joint tuberculosis the delays were 28 weeks (range 4–104) for C and 27 weeks (range 4–104) for NC.