Study of Determinant Profiles of Cutaneous Tuberculosis in Bangladesh

Community Based Medical Journal

Md Shahidul Islam¹  Md Hadiuzzaman¹  Nahida Islam Nipa¹  Nazma Parvin Ansari²  Muhammad Hasibur Rahman³  Mohammod Kamruj Jaman Bhuyan⁴  Ishrat Jahan Chowdhury⁵  Sabrina Alam Mumu⁶  Khondoker Golam Sabbir Ahmed⁷ 

[1] Assistant Professor of Dermatology & VD, Community Based Medical College,Bangladesh;Assistant Professor of Pathology, Community Based Medical College,Bangladesh;Associate Professor & Head of the Department of Dermatology & VD, Community Based Medical College,Bangladesh;Department of Agricultural Statistics, Bangladesh Agriculture University;Honorary Medical Officer of Dermatology & VD, Community Based Medical College,Bangladesh;Medical Officer of Dermatology & VD, Community Based Medical College,Bangladesh;Professor & Head of the Department of Microbiology, Community Based Medical College,Bangladesh

关键词: Skin tuberculosis;    Mantoux test;    BCG vaccination;    Histological confirmation;    Bangladesh;   

DOI  :  10.3329/cbmj.v1i1.13817

学科分类：医学（综合）

来源: Community Based Medical College Bangladesh

【 摘 要 】

The determinant spectra coupled with laboratory parameters of cutaneous tuberculosis in patients attending the Department of Dermatology and VD of the Community Based Medical College, Mymensingh, Bangladesh were studied for a period of over four years. A total of 110 patients (males, 75 and females, 35) having ages between 1 to 60 years were detected to infected. The result evidenced that skin tuberculosis is becoming mostly a disease of young patients between the ages of 16 to 30 years (44.55 %). There was a trend of appearance of Lupus vulgaris as the most common variant (49.09%) followed by Tuberculosis verrucosa cutis (29.09%). Skin tuberculosis was found more frequently in males than females (ratio 15: 7) and all patients belonged to lower socio-economic class. In 64 cases (58.18%) BCG vaccination coverage could not yield protection against cutaneous tuberculosis. Abnormal chest x-ray reports were available in 12 patients. It is interesting to note that enlargement of hilar lymph nodes, pleural effusion, ascites and generalized lymphadenopathy were not detected. Mantoux test revealed positive reactors in 100 patients (90.90%). Raised ESR (>20) was found in all patients. The validity of histopathology associated with FNAC was confirmed in 95 cases of patients (86.36%). There was evidence of Scrofuloderma in 20 patients and ICT indicated 74 positive cases. Bacteriological examination generated negative results in all cases. The response to antitubercular therapy was excellent except in 3 cases which required further monitoring of using additional drug and took much more time. The coexistence of pulmonary tuberculosis was determined in 2 patients.DOI:http://dx.doi.org/10.3329/cbmj.v1i1.13817Community Based Medical Journal Vol.1(1) 2012 3-7

【 授权许可】

CC BY