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患者女,33岁。HIV-1抗体阳性7年。右上肢红斑和左上腹斑块4年。皮损组织病理示:表皮萎缩,部分侵蚀,真皮层见致密淋巴细胞包绕的上皮样细胞肉芽肿。皮肤组织液涂片抗酸染色查见抗酸阳性杆菌。诊断:艾滋病,界线类偏结核样型麻风。高效抗逆转录病毒治疗有反应,标准麻风联合化疗有效。
Female patient, 33 years old. HIV-1 antibody positive for 7 years. Right upper limb erythema and left upper quadrant plaque 4 years. Pathological lesions showed: epidermal atrophy, partial erosion, see the dense dermal layer of dense lymphocytes surrounded by epithelioid cell granuloma. Skin tissue smear Acid-resistant stain check see acid-positive bacilli. Diagnosis: AIDS, borderline type of tuberculosis leprosy. Efficient antiretroviral therapy response, standard leprosy combined with chemotherapy effective.