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التحقق:: ما هي عاصمة فلسطين المحتلة ؟

الرسالة:: <p>[QUOTE="kinghamada, post: 53699"]<p style="text-align: left"><span style="color: #000000"><font face="Times New Roman">This article is to discuss the clinical picture of T.B ( manifestations | symptoms and signs ) .</font></span></p> <p style="text-align: left"><span style="color: #000000"><font face="Times New Roman">TB is usually classified as pulmonary or extrapulmonary. In absence of HIV infection, it involves the lungs only in > 80% of cases. In presence of HIV, up to 2/3 of patientswith TB have either extrapulmonary disease alone or both pulmonary and extrapulmonary disease.</font></span></p><p><b>I- Clinical picture of Primary complex </b></p><p><br /></p><p style="text-align: left"><span style="color: #000000"><font face="Times New Roman">(it is often seen in children)</font></span></p> <p style="text-align: left"><span style="color: #000000"><font face="Times New Roman">In most cases the primary infection produces no symptoms or signs. Fever, dry cough may occur for 1-2 weeks so, the condition usually passed unnoticed unless the following investigations are done.  :</font></span></p> <p style="text-align: left"><span style="color: #000000"><font face="Times New Roman">-</font></span></p><p><b> Chest x-ray</b><p style="text-align: left"><span style="color: #000000"><font face="Times New Roman"> , </font></span></p><p><b>Sputum</b><p style="text-align: left"><span style="color: #000000"><font face="Times New Roman"> examination</font></span></p> <p style="text-align: left"><span style="color: #000000"><font face="Times New Roman">- </font></span></p><p><b>Tuberculin test </b><p style="text-align: left"><span style="color: #000000"><font face="Times New Roman">shows conversion from -ve to +ve</font></span></p><p><b>So</b><p style="text-align: left"><span style="color: #000000"><font face="Times New Roman"> clinical disease results from the development of hypersensitivity or progression of the primary complex.</font></span></p> <p style="text-align: center"><span style="color: #000000"><font face="Times New Roman">[ATTACH=full]126228[/ATTACH]</font></span></p><p><br /></p><p style="text-align: left"><span style="color: #000000"><font face="Times New Roman">(A)</font></span><span style="color: #000000"><font face="Times New Roman"> <b><u>Hypersensitivity</u></b></font></span><span style="color: #000000"><font face="Times New Roman">: to tubercle bacilli may occur leading to:</font></span></p> <p style="text-align: left"><br /></p> <p style="text-align: left"><span style="color: #000000"><font face="Times New Roman">a- </font></span><span style="color: #000000"><font face="Times New Roman">Erythema nodosum </font></span><span style="color: #000000"><font face="Times New Roman">      * Bluish red nodule</font></span></p> <p style="text-align: left"><span style="color: #000000"><font face="Times New Roman">                                        * Raised</font></span></p> <p style="text-align: left"><span style="color: #000000"><font face="Times New Roman">                                        * Tender</font></span></p> <p style="text-align: left"><span style="color: #000000"><font face="Times New Roman">                                        * Cutaneous on the skin of tibia</font></span></p> <p style="text-align: left"><span style="color: #000000"><font face="Times New Roman">                                        * Tuberculin test is strongly + ve</font></span></p> <p style="text-align: left"><span style="color: #000000"><font face="Times New Roman">b- </font></span><span style="color: #000000"><font face="Times New Roman">Pleural effusion</font></span><span style="color: #000000"><font face="Times New Roman">===> exudative reaction (Hypersensitivity)</font></span></p> <p style="text-align: left"><span style="color: #000000"><font face="Times New Roman">c- </font></span><span style="color: #000000"><font face="Times New Roman">Phylectinular conjunctivitis</font></span><span style="color: #000000"><font face="Times New Roman">.</font></span></p> <p style="text-align: left"><br /></p> <p style="text-align: left"><span style="color: #000000"><font face="Times New Roman">(B) </font></span><span style="color: #000000"><font face="Times New Roman"><b>Progression of primary pulmonary tuberculosis</b></font></span><span style="color: #000000"><font face="Times New Roman"> :</font></span><span style="color: #000000"><font face="Times New Roman"></font></span></p> <p style="text-align: left"><span style="color: #000000"><font face="Times New Roman"></font></span><p style="text-align: left"><span style="color: #000000"><font face="Times New Roman"><font size="4"><span style="color: Red"><b>Read more at</b></span></font> : <a href="http://www.med4al.com/2025/07/manifestations-tuberculosis.html" target="_blank" class="externalLink ProxyLink" data-proxy-href="http://www.med4al.com/2025/07/manifestations-tuberculosis.html" rel="nofollow"><u><font size="5"><b>Manifestations of Pulmonary Tuberculosis</b></font></u></a></font></span></p> <p style="text-align: left"><br /></p> </p><p>[/QUOTE]</p><p><br /></p>

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