中华皮肤科杂志 ›› 1986, Vol. 19 ›› Issue (6): 337-338,336.

• 论著 • 上一篇    下一篇

我国首例皮肤瘰疬分枝杆菌病报告

孔庆英1, 刘季和1, 是元甫1, 吴勤学2, 刘琦2, 刘训荃3, 常宝珠3   

  1. 1. 中国医学科学院皮肤病研究所病理研究室;
    2. 中国医学科学院皮肤病研究所麻风病研究室;
    3. 中国医学科学院皮肤病研究所皮肤病研究室
  • 收稿日期:1986-02-03 修回日期:1986-05-31 发布日期:1986-12-15

First case of cutaneous obacteriosis scrofulacenm in China

Kong Qingying1   

  • Received:1986-02-03 Revised:1986-05-31 Published:1986-12-15

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摘要： 我们所见的一例女性患者,面部红斑7、8年不愈,近两年皮损逐渐扩大隆起,有时伴有渗出及结痂,但不破溃.皮损为3×4.5cm红色斑块,微黄色无溃疡及疤痕.病人一般情况好.临床皮损及组织病理变化似结节病和皮肤结核,经杆菌培养,于3~4周时可见大头针针头大小黄色菌落.重复培养成功,并均能连续传代,菌株代号S17,鉴定结果见附表.S17属Runyon氏分类第2组,其特性与瘰疬分枝杆菌完全一致,故诊断为皮肤瘰疬分枝杆菌病.

Abstract: In this paper, we present first case of atypical mycobacteriosis caused by M. scrofulaceum. The patient, a 49 years old woman, peasant, had an erythematous plaque involving the face for seven years without any symptom. In the recent two years the lesion gradually enlarged and elevated, sometimes with exudate and crust. But no ulceration occurred.The skin lesion showed yellowish erythematous plaque, 3×4.5 cm in size. The general condition of the patient was good. Clinical and histopathological diagnosis: Sarcoidosis? Lup us vulgaris? Skin biopsy showed widespread epithelioid cell granuomal. Repeated cultivation and subculture were all positive. Then we gave this strain a code number S17. S17 strain was identified. The results showed that S17 strain belonged to Group Ⅱ according to Runyon's classification. Its properties are identical to M. scrofulaceum.