구진괴사성 결핵진을 동반한 결핵성 림프절염 1예
A Case of Tuberculous Lymphadenitis accompanying Papulonecrotic Tuberculid
신종욱 (중앙대학교)
최재철 (중앙대학교)
김명남 (중앙대학교)
최병휘 (중앙대학교)
김재열 (중앙대학교)
박인원 (중앙대학교)
김지영 (중앙의대)
곽희원 (중앙의대)
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초록
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.
- keywords
- Papulonecrotic tuberculid, Tuberculous lymphadenitis., Papulonecrotic tuberculid, Tuberculous lymphadenitis.
Abstract
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. (Tuberc Respir Dis 2007; 62: 536-539)
- keywords
- Papulonecrotic tuberculid, Tuberculous lymphadenitis., Papulonecrotic tuberculid, Tuberculous lymphadenitis.
참고문헌
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