nasal tuberculosis
Introduction
Introduction It is a disease of tuberculosis in the nose. There are primary and secondary points, the primary may be caused by airborne, direct or indirect contact, secondary to tuberculosis lesions or other areas of tuberculosis. Early detection of nasal vestibular eczema or folliculitis lesions. There may be pink nodules on the anterior nasal skin and mucous membranes. It is often seen that there is a suede in the nasal cavity, the lower mucosa is superficially ulcerated, the edge is not complete, and the pale granulation tissue is proliferated at the ulcer, and the bleeding is easy to touch. In severe cases, the ulcer is deep, there is necrosis, and the septum is perforated.
Cause
Cause
Mycobacterium tuberculosis infection, there are primary and secondary points, the primary may be caused by airborne, direct or indirect contact, secondary to tuberculosis lesions or other parts of tuberculosis.
Examine
an examination
Related inspection
Nasopharyngeal MRI examination of Mycobacterium tuberculosis antigen, antibody examination
More nasal tuberculosis secondary to tuberculosis, destruction of tissue strength is faster than syphilis, inflammation is more obvious, often severe pain, more damage to nasal cartilage, rarely destroy bone, history of visceral tuberculosis, history of asexual contact, can not find syphilis, can be found See tuberculosis, syphilis serum test reaction was negative.
The main diagnostic methods and smears, scrapings to find acid-fast bacilli, biopsy, tuberculosis culture and animal inoculation. The prognosis is generally better.
Diagnosis
Differential diagnosis
Nasal tuberculosis must be differentiated from common lupus and other special infectious diseases such as syphilis and leprosy that occur in the nose. In addition, the identification of nasal tuberculosis and nasal tumors is sometimes difficult to observe by the naked eye. Especially the nasal septum tuberculoma is similar to hemorrhagic polyps or sarcomas. Proliferative tuberculosis lesions resemble malignant tumors and can be biopsied. Determine the diagnosis.
