rosacea-like tuberculosis

Introduction

Introduction to rosacea-like tuberculosis The rosacea-like tuberculosis was named by Lewandowsky in 1917. Its clinical features are pale red or yellowish brown pimples on the face, and the skin is flushed with redness. The papules are large enough to be large in size and are examined by slides, showing apple butter color. The papules are dense and scattered, with varying degrees of erythema, pustules, scales and telangiectasia, and generally no symptoms. basic knowledge The proportion of illness: 0.005% Susceptible people: no special people Mode of infection: non-infectious complication:

Cause

Causes of rosacea-like tuberculosis

(1) Causes of the disease

Lewandowsky has a tuberculosis-like structural change according to its pathological changes, and the tuberculin test is positive. It is considered to be one of the tuberculosis and is separated from the rosacea. However, many scholars have recently studied that the rosacea may also have a tuberculosis-like structure, and The results of this tuberculin test are uncertain, and tuberculosis can not be found in the skin lesions. Therefore, the disease is considered to be a small rash-like rosacea like tuberculosis, and Michelson and Laymon proposed this disease as "lupus-like wine." "Slag nose", Mullanax and Kierland named "granulomatous rosacea".

(two) pathogenesis

The pathogenesis is still unclear.

Prevention

Rosacea-like tuberculosis prevention

Precautionary principle: It is mainly to mobilize the masses, vigorously publicize the prevention and treatment knowledge of tuberculosis, conduct regular health checkups, early diagnosis, early treatment, eliminate infection sources, eliminate infection routes, carry out BCG vaccination, and enhance the body's resistance.

Complication

Rosacea-like tuberculosis complication Complication

Generally no symptoms, often have habitual constipation. A small number of patients may have complicated orbital inflammation, conjunctivitis, and iridocyclitis.

Symptom

Rosacea-like tuberculosis symptoms common symptoms papules pustule nodules scaly telangiectasia nostril obscuration red nose

It is a reddish or yellowish brown pimples, distributed symmetrically on the face, especially in the cheeks, ankles, forehead and lower jaw, and some occur in the mouth of the hair follicle. The needles of the papules are large enough to be large, and the slides are used for examination. There are applesauce color, dense papules, scattered arrangement, accompanied by varying degrees of erythema, pustules, scales and telangiectasia, generally no symptoms.

Examine

Examination of rosacea-like tuberculosis

There is tuberculous infiltration in the upper part of the dermis, and there are clusters of epithelial-like cells infiltrating the block. The number of lymphocytes is small, it is difficult to find giant cells, and there is no caseous necrosis. It is similar to the infiltration of sarcoidosis, but the boundary is not as obvious as sarcoidosis.

Diagnosis

Diagnosis and identification of rosacea-like tuberculosis

According to the appearance of pale red or yellow-brown papules on the face, applesauce nodules, with erythema and telangiectasia, combined with pathological examination, diagnosis is not difficult.

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