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患者女,39岁。双下肢反复起红斑、结节5年余,结节溃破并溢出黄色液体,愈合后形成萎缩性瘢痕。PPD试验呈强阳性,胸部CT示双上肺陈旧性肺结核,皮损组织病理学检查示上皮样细胞、多核巨细胞、淋巴细胞组成的结核样结节。诊断:硬红斑。予利福平、异烟肼、乙胺丁醇和强的松口服治疗,疗效显著。
Female patient, 39 years old. Repeated erythema on both lower extremities, nodules more than 5 years, nodular ulceration and spilled yellow liquid, forming atrophic scar after healing. PPD test was strongly positive, chest CT showed double lung old tuberculosis, histological examination of epithelial lesions showed epithelioid cells, multinucleated giant cells, lymphoid tuberculosis-like nodules. Diagnosis: hard erythema. Rifampicin, isoniazid, ethambutol and prednisone oral treatment, a significant effect.