摘要：Introduction and importance: Skin tuberculosis is a rare chronic skin disease caused by Mycobacterium tuberculosis. Due to variations in host immunity, as well as differences in the toxicity, quantity, and routes of invasion of Mycobacterium tuberculosis, different clinical manifestations can occur. Case presentation: A 60-year-old female with a history of SLE for 16 years presented with dark brown nodules and plaques on the left lower limb and dorsal hands for approximately 8 months, which worsened with erythema and ulceration over the last 3 months. Prior to this, she was diagnosed with Mycobacterium tuberculosis infection. Her ulcer progressively increased in size and number, accompanied by yellowish-white cheesy discharge. Diagnostic evaluations, including a biopsy, confirmed the diagnosis of NF. Subsequently, the patient underwent treatment with a combination of surgical intervention, pharmacotherapy, and other supportive measures, leading to improvement and eventual discharge. Clinical discussion: Unlike the classical presentations, this case report describes a rare manifestation of NF secondary to cutaneous tuberculosis complicated by SLE. This presentation poses challenges in diagnosis and treatment, emphasizing the significance of comprehensive debridement and combination therapy in such patients. Further research is necessary to validate its effectiveness across broader patient demographics, especially in pediatrics and pregnant women. Conclusion: This case highlights the rare association between NF and cutaneous tuberculosis. The report of this case, with its rare clinical manifestations, can serve as a good reference to reduce misdiagnosis of cutaneous tuberculosis and provide timely and effective treatment for patients.

摘要：Backgrounds: Burn, a damage and tissue loss caused by heat with a high morbidity and mortality, have a many variation and complex problem that require special management. After a period of shock, there were infections that threaten the burn patients. These hazards aggravate the wound to become wider, and it affects the mortality and the length of stay. That is why to reduce mortality rate and length of stay, we need a proper wound care.Methods:A retrospective descriptive studies was perform on 2b degree burn patients (20-25%) that treated with tangential excision and mebo or tangential excision and stsg. Data was taken from burns unit Cipto Mangunkusumo hospital in period of January to December 2011.Results: There were 30 patients (73.2%) that have been treat with tangential excision and mebo, and 11 patients (26.8%) that have been treat with tangential excision and stsg. The average length of stay for the tangential excision and mebo is 22.47 ? 23 days(SD 4.361), whereas patients with tangential excision and stsg is 15.82 ?16 days (SD 2.089). There were 8 patients (26.7%) with tangential excision and mebo that die, whereas patients with tangential excision and stsg were 2 patients (18.2%) that die. There were significant difference in the average length of stay (p = 0.018), but there was no difference in the proportion of patients dying status (P = 0.611).Conclusion:Wound care by tangential excision and stsg on 2b degree burn patient (20-25%), have a better outcome than patients treated by tangential excision and mebo.

摘要：目的　探讨面部烧伤色素沉着康复护理方法。方法　对我科 2 0 0 0年 6月～ 2 0 0 2年 6月护理的面部烧伤后色素沉着患者 97例作为观察对象 ,随机分为实验组 4 9例 ,采用温水冲洗面部皮肤 ,色素沉着区涂美宝烧伤膏 ,隔日 1次 ,1 0次为 1疗程。间歇期涂美宝疤痕平 ,早、晚各 1次。配合按摩等综合康复护理措施。轻者 1疗程痊愈 ,重者 2～ 3个疗程痊愈。对照组 4 8例 ,出院回家带药如美宝烧伤膏、美宝疤痕平按常规方法自行应用。结果　实验组痊愈 4 5例 ,占 91 .84 % ,好转 4例 ,占 8.1 6 %。护理中患者面部色素沉着区有发热感 ,面色稍红润。对照组与实验组相同随访统计时间 ,对照组痊愈者“0” ,好转 39例 ,占 81 .2 5 % ,无效 9例 ,占 1 8.75 %。护理中患者发热感 ,红润不明显。结论　该措施是烧伤后面部色素沉着防治理想方法 ,对于增加病人满意度和提高生存质量具有积极意义

摘要：目的探讨小儿烧伤及合并感染的防治。方法回顾性分析1984年3月～2003年11月收治的96例小儿烧伤临床病例熏按治疗方法分为湿润暴露疗法和非湿润暴露疗法两组。结果两组间在创面感染率方面有统计学差异(P<0.05)。在96例病例中,92例治愈出院,其中有后遗症者6例;死亡2例;自动出院2例。结论小儿烧伤易出现合并症,病情变化快,重度烧伤有一定死亡率,处理上要把好抗休克、防感染、消除创面三关,而防治感染贯穿在整个治疗过程中熏采用湿润暴露疗法可减少创面感染。