Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case of Tuberculous Lymphadenitis accompanying Papulonecrotic Tuberculid

구진괴사성 결핵진을 동반한 결핵성 림프절염 1예

  • Han, Tae Young (Department of Dermatology, College of Medicine, Chung-Ang University) ;
  • Kim, Ji Young (Department of Dermatology, College of Medicine, Chung-Ang University) ;
  • Kwak, Hee Won (Department of Internal Medicine, College of Medicine, Chung-Ang University) ;
  • Choi, Jae Chul (Department of Internal Medicine, College of Medicine, Chung-Ang University) ;
  • Shin, Jong Wook (Department of Internal Medicine, College of Medicine, Chung-Ang University) ;
  • Kim, Jae Yeol (Department of Internal Medicine, College of Medicine, Chung-Ang University) ;
  • Park, In Won (Department of Internal Medicine, College of Medicine, Chung-Ang University) ;
  • Kim, Myeung Nam (Department of Dermatology, College of Medicine, Chung-Ang University) ;
  • Choi, Byoung Whui (Department of Internal Medicine, College of Medicine, Chung-Ang University)
  • 한태영 (중앙대학교 의과대학 피부과학교실) ;
  • 김지영 (중앙대학교 의과대학 피부과학교실) ;
  • 곽희원 (중앙대학교 의과대학 내과학교실) ;
  • 최재철 (중앙대학교 의과대학 내과학교실) ;
  • 신종욱 (중앙대학교 의과대학 내과학교실) ;
  • 김재열 (중앙대학교 의과대학 내과학교실) ;
  • 박인원 (중앙대학교 의과대학 내과학교실) ;
  • 김명남 (중앙대학교 의과대학 피부과학교실) ;
  • 최병휘 (중앙대학교 의과대학 내과학교실)
  • Received : 2007.05.03
  • Accepted : 2007.05.14
  • Published : 2007.06.30
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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.

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

References

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