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The inflammation reaction hyperplactic stage and lymphatic nodular stage are of nonspecific morphological changes and should be diagnosed with the help of positive tuberculin test and obvious increase of adenosine deaninase ; tuberculous nodular stage has a great number of epithelioid cells,and Langhans cells, caseous necrosis stage is characterized by a great deal of necrotic tissue and debris,a small number of fragmented epithelioid cells, and mainly by antiacid bacteria fibrinous hyperplastic stage is featured by a few fibrous tissue, cells and mucous oweing to hardness to get puncture, which neans tuberculous restoration,and scar formation.

炎性增殖反应期非特异性形态学变化,需要结合结核抗体阳性和腺苷酸脱氨酶明显增高有助于诊断,结核结节期主要可有较多类上皮样细胞及郎罕氏细胞;而干酪样脓样坏死主要见大量坏死组织及碎屑、少数残碎不全类上皮样细胞,此期主要能查到抗酸菌为特征;纤维增殖期,抽出物难取,仅见少数纤维组织、纤维细胞和黏液间质为其特征,提示结核恢复、瘢痕形成所致。

The inflammation reaction hyperplactic stage and lymphatic nodular stage are of nonspecific morphological changes and should be diagnosed with the help of positive tuberculin test and obvious increase of adenosine deaninase ; tuberculous nodular stage has a great number of epithelioid cells,and Langhans cells,caseous necrosis stage is characterized by a great deal of necrotic tissue and debris,a small number of fragmented epithelioid cells,and mainly by antiacid bacteria fibrinous hyperplastic stage is featured by a few fibrous tissue,cells and mucous oweing to hardness to get puncture,which neans tuberculous restoration,and scar formation.

炎性增殖反应期非特异性形态学变化,需要结合结核抗体阳性和腺苷酸脱氨酶明显增高有助于诊断,结核结节期主要可有较类上皮样细胞及郎罕氏细胞;而干酪样脓样坏死主要见量坏死组织及碎屑、少残碎不全类上皮样细胞,此期主要能查到抗酸菌特点;纤维增殖期,抽出物难取,仅见少数纤维组织、纤维细胞和黏液间质为其特征,提示结核恢复、瘢痕形成所致。

The inflammation reaction hyperplactic stage and lymphatic nodular stage are of nonspecific morphological changes and should be diagnosed with the help of positive tuberculin test and obvious increase of adenosine deaninase ; tuberculous nodular stage has a great number of epithelioid cells,and Langhans cells, caseous necrosis stage is characterized by a great deal of necrotic tissue and debris,a small number of fragmented epithelioid cells, and mainly by antiacid bacteria fibrinous hyperplastic stage is featured by a few fibrous tissue, cells and mucous oweing to hardness to get puncture, which neans tuberculous restoration,and scar formation.

炎性增殖反应期非特异性形态学变化,需要结合结核抗体阳性和腺苷酸脱氨酶明显增高有助于诊断,结核结节期主要可有较多类上皮样细胞及郎罕氏细胞;而干酪样脓样坏死主要见大量坏死组织及碎屑、少数残碎不全类上皮样细胞,此期主要能查到抗酸菌为特点;纤维增殖期,抽出物难取,仅见少数纤维组织、纤维细胞和黏液间质为其特征,提示结核恢复、瘢痕形成所致。

The inflammation reaction hyperplactic stage and lymphatic nodular stage are of nonspecific morphological changes and should be diagnosed with the help of positive tuberculin test and obvious increase of adenosine deaninase ; tuberculous nodular stage has a great number of epithelioid cells,and Langhans cells, caseous necrosis stage is characterized by a great deal of necrotic tissue and debris,a small number of fragmented epithelioid cells, and mainly by antiacid bacteria fibrinous hyperplastic stage is featured by a few fibrous tissue, cells and mucous oweing to hardness to get puncture, neans tuberculous restoration,and scar formation.

结核初期-炎性增殖期60例,占5.5%;结核早期-淋巴结节期130例,占11.9%;结核中期-结核性结节期有590例,占54.1%;结核晚期-干酪样脓样坏死期有280例,占25.7%;结核恢复期-纤维素增殖期30例,占2.8%。炎性增殖反应期非特异性形态学变化,需要结合结核抗体阳性和腺苷酸脱氨酶明显增高有助于诊断,结核结节期主要可有较多类上皮样细胞及郎罕氏细胞;而干酪样脓样坏死主要见大量坏死组织及碎屑、少数残碎不全类上皮样细胞,此期主要能查到抗酸菌为特点;纤维增殖期,抽出物难取,仅见少数纤维组织、纤维细胞和黏液间质为其特征,提示结核恢复、瘢痕形成所致。

The inflammation reaction hyperplactic stage and lymphatic nodular stage are of nonspecific morphological changes and should be diagnosed with the help of positive tuberculin test and obvious increase of adenosine deaninase ; tuberculous nodular stage has a great number of epithelioid cells,and Langhans cells, caseous necrosis stage is characterized by a great deal of necrotic tissue and debris,a small number of fragmented epithelioid cells

炎性增殖反应期非特异性形态学变化,需要结合结核抗体阳性和腺苷酸脱氨酶明显增高有助于诊断,结核结节期主要可有较多类上皮样细胞及郎罕氏细胞;而干酪样脓样坏死主要见大量坏死组织及碎屑、少数残碎不全类上皮样细胞,此期主要能查到抗酸菌为特点;纤维增殖期,抽出物难取,仅见少数纤维组织、纤维细胞和黏液间质为其特征,提示结核恢复、瘢痕形成所致。

"The tuberculoid type, marked by spots having raised, reddish borders and patches that spread and lose feeling, may not progress or may improve."

类结核型麻疯有显著的斑块隆起,边缘发红,斑点扩张并失去感觉,可能不会继续发展,或者会改善。

"The tuberculoid type, marked by spots having raised, reddish border s and patches that spread and lose feeling, may not progress or may improve."

类结核型麻疯有显著的斑块隆起,边缘发红,斑点扩张并失去感觉,可能不会继续发展,或者会改善。

"The tuberculoid type, marked by spots having raised, reddish borders and patch es that spread and lose feeling, may not progress or may improve."

类结核型麻疯有显著的斑块隆起,边缘发红,斑点扩张并失去感觉,可能不会继续发展,或者会改善。

During the past six months, there had been the progressive appearance of anesthetic annular plaques over the arms, left foot and face. The histopathology of a skin biopsy showed a non-Gaseous granulomatous infection with dermal nerve destruction. The diagnosis of borderline tuberculoid leprosy was made from the clinical features and histopathology of the skin biopsy. The patient was sent back to Indonesia after confirmation of a diagnosis, so we cannot give any follow-up information on her condition.

本病例为34岁女性印尼雇佣,最近半年陆续於手臂、左脚和脸部出现感觉丧失的环型斑块,病理切片下呈现非乾酪坏死性肉芽肿且有真皮神经破坏的现象,综合临床与病理表现,我们诊断为「中间型类结核型麻风(Borderline Tubercu-loid leprosy)」,另因患者本身为外籍劳工,所以在诊断确立后已被遣送回国,故无法继续追踪其后续治疗情形。

The formation of these concretions was affected by biological processes besides chemical processes, when they were being formed.

类结核的形成,除化学沉积作用外,还有生物作用的影响。

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