Tuberculous Infection of the Hand and Wrist

Visuthikosol, Vivat; Kruavit, Arthi; Nítiyanant, Prawat; Siriwongpairat, Pimjai

doi:10.1097/00000637-199607000-00009

Cited by 37 publications

(28 citation statements)

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“…Pain, swelling, joint stiffness, increase of the circumference of fingers, carpal tunnel syndrome and, in advanced form, cutaneous fistulas are the symptoms associated with the involvement of the joints. Because the clinical picture suggests rheumatic and orthopedic causes, diagnosis is delayed, which may result in a worse prognosis [6,10,11]. In patients reported in the studies of Turkish researchers, the most common symptoms were swelling and pain in joints, and a time to make the correct diagnosis reached 17 months.…”

Section: Discussionmentioning

confidence: 99%

Musculosceletal Tuberculosis with Involvement of Tendon Sheaths and Formation of Synovial Cyst

Zieliński

Mazur-Zielińska

Kozielski

2016

Advances in Respiratory Medicine

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Due to an increasing amount of patients on immunosuppressive treatment, the number of tuberculosis (TB) of atypical course and extrapulmonary tuberculosis cases increase. Locomotor system is a place of every fifth case of extrapulmonary TB. Because of lack of characteristic symptoms, as well as rare co-occurrence of active lung lesions in radiological imaging, proper diagnosis is hard to establish. We present a case of patient on immunosuppressive therapy due to myositis, in whom we diagnosed musculoskeletal tuberculosis in form of involvement of tendon sheath and formation of synovial cyst.

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Section: Discussionmentioning

confidence: 99%

Musculosceletal Tuberculosis with Involvement of Tendon Sheaths and Formation of Synovial Cyst

Zieliński

Mazur-Zielińska

Kozielski

2016

Advances in Respiratory Medicine

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“…Allerdings kann ein operatives Vorgehen in seltenen Fällen von lediglich klinisch als phlegmonöse Entzündungen imponierenden Affektionen kontraindiziert sein und den Befund sogar wesentlich verschlechtern. Dazu gehören die sonst selten an der Hand manifest werdenden Erkrankungen Pyoderma gangraenosum (PG) [9] und die Tuberkulose (TB) [12,26]. Für das PG ist die patherge Reaktion bekannt, die den durch operative Intervention angefachten Entzündungsprozess und den dadurch ausgelösten weiteren Gewebeuntergang bezeichnet [21].…”

Section: Differenzialdiagnose "Steriler" Phlegmonöser Entzündungen Deunclassified

“…Mit nur 15% aller akuten Tuberkuloseinfektionen stellen die extrapulmonalen gegenüber den pulmonalen Erstmanifestationen eine Seltenheit dar. Insbesondere eine primäre Beteiligung der Hand wurde bisher nur selten beschrieben [12,26,27]. Üblicherweise kommt es zur Beteiligung der Hand nur in Folge einer Reaktivierung eines pulmonalen Fokus und der hämatogenen Bakterienaussaat.…”

Section: Introductionunclassified

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Differenzialdiagnose „steriler“ phlegmonöser Entzündungen der Hand

Daigeler

Lehnhardt

Helwing

et al. 2006

Chirurg

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Patient history should be evaluated carefully because of its value to correct diagnosis. In case of negative smear tests, especially from immunocompromised, elderly patients and in patients with a history of pulmonary tuberculosis, Ziehl-Neelsen staining should be obtained. In case of multilocular affection or pre-existing chronic inflammatory bowel disease, the presumptive diagnosis of pyoderma gangrenosum can be confirmed by biopsies from the lesions margin. In both cases, unnecessary traumatizing operations could thus be avoided and treatment optimized.

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“…Fibrous dysplasia is often lytic, slightly expansile but in the hand is usually polystotic with a ground-glass appearance. Osteomyelitis, tuberculosis in particular, can mimic GCTOB in the distal radius and hand [85][86][87][88] (Fig. 16).…”

Section: Differential Diagnosismentioning

confidence: 99%

Giant-cell tumours of bone of the hand and wrist: a review of imaging findings and differential diagnoses

James

Davies

2005

Eur Radiol

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Giant-cell tumour of bone (GCTOB) is a benign, locally aggressive, primary bone tumour. Involvement of the distal radius accounts for between 10 and 12% of cases of GCTOB, with the bones of the hand and wrist being rarely affected. GCTOB most commonly affects skeletally mature patients between the ages of 20 and 40 years, with the peak incidence being in the third decade. Women are affected slightly more commonly than men. GCTOB involving the bones of the hand most commonly occurs in a central location, which differs from the usual eccentric location seen in GCTOB at other sites. The radiographic features of GCTOB in the hand and wrist are presented. The role of bone scintigraphy, computed tomography and magnetic resonance imaging is discussed. Evaluation of the postoperative patient is also addressed, including the role of dynamic contrast-enhanced magnetic resonance imaging. A comprehensive review of the potential differential diagnoses that should be considered when GCTOB is suspected in the hand and wrist is also presented.

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Tuberculous Infection of the Hand and Wrist

Cited by 37 publications

References 0 publications

Musculosceletal Tuberculosis with Involvement of Tendon Sheaths and Formation of Synovial Cyst

Musculosceletal Tuberculosis with Involvement of Tendon Sheaths and Formation of Synovial Cyst

Differenzialdiagnose „steriler“ phlegmonöser Entzündungen der Hand

Giant-cell tumours of bone of the hand and wrist: a review of imaging findings and differential diagnoses

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