中间界线类麻风误诊为类天疱疮1例

Midborderline Leprosy (BB) Misdiagnosed as Pemphigoid: A Case Report

患者男,40岁,发现右膝关节处出现红斑、水疱、溃疡1年余。在外院按类天疱疮治疗无效。结合临床表现、神经系统检查、组织病理学检查及组织液抗酸染色,最终诊断:中间界线类麻风。按照国家治疗麻风的化疗方案给予氨苯砜(DDS)、利福平(RFP)、氯苯吩嗪(CFZ)治疗24个月,红斑、水疱、溃疡痊愈。

A 40-year-old male presented with erythema, blisters and ulcers on the right knee joint for more than one year.In other hospital, he was diagnosed as pemphigoid but not responded to the treatment.According to clinical manifestations, neurological examination, histopathological examination and acid-fast staining, he was finally diagnosed as midborderline leprosy, and then accepted MTD-MB regime treatment for 24 months.Erythema, blisters and ulcers completely healed.