单侧巨型状乳头作为一种罕见的肺外结核病表现
1Hariram Motumal Nasta and Renu Hariram Nasta, Ophthalmic Plastic Surgery Services, LV Prasad Eye Institute, Hyderabad, Telangana, India.
概括
一个罕见的肺外结核病病例,呈现为30岁女性中孤立的巨型状乳头. 迅速的抗结核疗法解决了结节和淋巴结炎症,突出显示在注射类固醇之前需要排除感染.
科学领域:
- 眼科医生 眼科 眼科
- 传染性疾病 传染性疾病
- 病理学 病理学 病理学
背景情况:
- 巨型状乳头可能是由各种疾病引起的,包括感染.
- 肺外结核不常见,但可以以各种方式表现出来.
- 类固醇注射可能会加剧或掩盖潜在的感染.
研究的目的:
- 报告一种罕见的孤立单边巨型状乳头病例,由肺外结核病引起.
- 强调在结膜病变的差异诊断中考虑结核病的重要性.
- 为了强调在未被诊断的感染中注射类固醇的风险.
主要方法:
- 一个30岁的女性病例报告,患有单边巨型状囊.
- 结膜病变和下下淋巴结的活检.
- 诊断评估包括曼图克斯试验和抗核抗体水平.
- 用抗结核疗法进行治疗.
主要成果:
- 结膜活检显示颗粒状炎症没有可识别的病原体.
- 系统评估显示,曼图克斯测试呈阳性,并增加了ANA.
- 下淋巴结活检证实结核病与病例性亡.
- 在抗结核治疗后,眼睛和结节病变的完全消失.
结论:
- 初级结核结膜炎应考虑在单边巨型乳头上.
- 避免使用类固醇注射,不排除感染.
- 肺外结核的早期诊断和治疗对于有利的结果至关重要.
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