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KMID : 0363219960340020309
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Korean Journal of Dermatology
1996 Volume.34 No. 2 p.309 ~ p.313
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A Case of Tuberculous Gumma
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Abstract
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Tuberculous gumma is the result of a hematogenous dissemination of tubercle bacilli from a primary focus during a period of lowered resistance. This unusual disease affects undernourished children of low socioeconomic status or patients who are
severely
immunodepressed by a disease or therapy.
A 68-year-old female patient presented with tender fluctuant erythematous nodules over both upper extremities, shoulder, back and buttock. The biopsy specimen from the fluctuant plaque of right forearm revealed granulomatous infiltration composed
of
Langhans giant cells, epitheloid cells, plasma cells, lymphocytes and neutrophils in the deep dermis. Numerous acid fast bacilli was identified in AFB staining. Mycobacterium tuberculosis DNA was betected by polymerase chain reaction technique in
the
specimen from the skin lesion.
We here present a very unusual case of tuberculous gumma.
(Kor J Deratol 1996;34(1) : 309~313)
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