下肢巨大疣状皮肤结核1例

A Case of Tremendous Tuberculosis Verrucosa Cutis on Lower Limb

患者女,45岁。左下肢丘疹、结节及斑块15年。皮肤组织病理示:表皮假上皮瘤样增生,真皮内见大量上皮样细胞、淋巴细胞、组织细胞及少量多核巨细胞聚集。抗酸染色(-)、PAS染色(-),PPD试验(3+),T细胞斑点试验(+)。诊断:疣状皮肤结核。

A 45-year old women presented with Papules, nodules and plaques on the left lower limh for 15 years. Hislological examination showed thai epidermis pseudoepitheliomatous hyperplasia, diffused epilhelioid cells, lymphocyles, histiocytes and a fewgiant polykaryoe/es in dermis. Acid-fast stain （ - ）, PAS stain （ - ）, PPD test（ 3 ＋ ） ,T cells spot test（ ＋ ）. A diagnosis of luberculosis verrucosa culls was made.