张婷?张敏?郝玉琴

    【摘要】丘疹坏死性结核疹(PNT)是身体对其他部位(皮肤)结核分枝杆菌感染的一种免疫、过敏反应，其早期极易与变应性血管炎混淆，可依据病理活组织检查(活检)鉴别，也可行PCR检测明确诊断。该文报道1例淋巴结结核、药物性肝损害合并PNT患者，以双足皮疹为首发表现，予脱敏、对症治疗效果欠佳，追问患者既往病史并行病理活检后临床确诊。调整抗结核药及对症治疗，门诊随访未见新发皮疹。该例提示，对疑有结核分枝杆菌感染并发皮疹的患者，应警惕并发各型皮肤结核及其鉴别诊断，对无法耐受常规治疗的患者应合理调整药物配伍方案。

    【关键词】结核疹;淋巴结结核;鉴别诊断;治疗

    Papulonecrotic tuberculid complicated with lymph node tuberculosis： a case report Zhang Ting， Zhang Min， Hao Yuqin. Graduate School of Inner Mongolia Medical University， Huhtto 010000， China Corresponding author， Zhang Min， E-mail： nmgzm@ 126. com

    【Abstract】Papulonecrotic tuberculid (PNT) is a host immune and allergic reaction to Mycobacterium tuberculosis infection in other parts of the body. Early-stage PNT is highly likely to be misdiagnosed as allergic vasculitis ......