医学
类风湿因子
爪
皮肤活检
肌肉挛缩
体格检查
畸形
外科
皮肤病科
活检
病理
抗体
免疫学
机械工程
工程类
作者
Aidan R. Filley,Saadeddine Saad,Kirstin Altman
出处
期刊:JAMA
[American Medical Association]
日期:2023-06-30
卷期号:330 (3): 275-275
被引量:1
标识
DOI:10.1001/jama.2023.9915
摘要
A previously healthy individual in his 20s had 3 months of annular skin lesions, with numbness and paresthesia in the affected areas. Physical examination revealed multiple tattoos, bilateral palpable thickened auricular and ulnar nerves, and claw-hand deformity; test results for rapid plasma reagin, antinuclear antibodies, rheumatoid factor, acid-fast bacilli, mycobacteria, and fungi were negative, and biopsy did not identify Mycobacterium leprae. What is the diagnosis and what would you do next?
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