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| The ultrasonographic image analysis of AIDS-related superficial lymph node tuberculosis |
| NONG Yun-jie, NONG Heng-rong |
| Department of Ultrasonongraphy, the Affiliated Nanning Infectious Diseases Hospital of Guangxi Medical University, Nanning Guangxi 530023, China |
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Abstract Objective: To investigate the ultrasonic image feature, the pathological characteristics and the clinical significance of AIDS-related superficial lymph node tuberculosis(ASLTB) niduses. Methods: To retrospectively analyse the ultrasonic image and pathology of 139 ASLTB cases confirmed by ultrasound-guided biopsy of pathology in the Affiliated Nanning Infectious Diseases Hospital of Guangxi Medical University. Results: Among 139 cases with ASLTB, 17(12.2%) had positive solid echoes of pseudokidney sign named type Ⅰ, and the main pathological changes were tuberculous granuloma; 89(64%) had negative solid echoes of pseudokidney sign named type Ⅱ, the main pathological changes were tuberculous granuloma and caseous necrosis; 33(23.8%) had mixed echoes of solid-liquid named type Ⅲ and the main pathological changes were caseous necrosis, the sinus sign of type Ⅲ is variable and the calcification sign is rare(7/139). The CD4+ T lymphocyte counts in cases with type Ⅱ and type Ⅲ were significantly lower than that in cases with type Ⅰ(P<0.001). Conclusion: The ultrasound images of ASLTB are complex and varied, which are related to pathological changes and blood CD4+ T lymphocyte count, and the ultrasound-guided puncture biopsy is helpful for the diagnosis.
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Received: 13 February 2019
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