Tuberculosis of the Hand

Al-Qattan, M. M.; Al-Namla, A.; Althunayan, Abdulaziz

doi:10.1016/j.jhsa.2011.05.036

Cited by 54 publications

(82 citation statements)

References 57 publications

(30 reference statements)

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“…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. Notably, none of the described patients revealed changes in the chest radiograph that may correspond to active tuberculous changes in the lungs, which is consistent with the observation that the involvement of the locomotor system usually does not coexist with radiological changes suggestive of active TB lesions in chest [6,11].…”

Section: Discussionsupporting

confidence: 86%

“…They may occur in other diseases of the musculoskeletal system soft structures, however compared to those seen in tuberculosis they are smaller. Ganglion cyst, abscess, inflammation of the bursae and inflammation of the tendon sheaths encourage surgical intervention and obtaining the diagnostic material through surgery [6]. Fine needle aspiration (FNA) biopsy is a method that should be considered in the diagnostic process of extrapulmonary tuberculosis because of its simplicity, low invasiveness and cost-effectiveness.…”

Section: Discussionmentioning

confidence: 99%

“…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%

See 2 more Smart Citations

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.

show abstract

Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

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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“…Several studies using different targets for amplification in extra pulmonary samples have reported a range of specificity between 77% -100% [23,24]. The good sensitivity and specificity of polymerase chain reaction test as well their fast results advocates its use in routine diagnosis of extra pulmonary tuberculosis where the conventional methods are limited.…”

Section: Discussionmentioning

confidence: 99%

Musculoskeletal Tuberculosis in Dermatomyositis: Association or Coincidence?

Abreu¹,

Fernandes²,

Borba³

et al. 2014

OJRA

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Dermatomyositis is a rare idiopathic inflammatory myopathy characterized by proximal muscle weakness associated with typical skin abnormalities and compatible electromyographic finds. Tuberculosis could determine several clinical manifestations but the classic one is the lung presentation. Among the extra pulmonary manifestations of tuberculosis, the musculoskeletal form is rare and it is usually a direct extension of the bone involvement nearby. In the present study, the authors described two dermatomyositis patients and musculoskeletal tuberculosis. In both cases, there was presence of bilateral tenosynovitis, which is considered atypical for further infectious.

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“…Chronic inflammatory diseases such as leukemia, external trauma, and repetitive use of fingers and pregnancy are also a cause of distal flexor tenosynovitis [1-3]. …”

Section: Introductionmentioning

confidence: 99%

Treatment of Chronic Isolated Finger Flexor Tenosynovitis Through 50% Dehydrated Alcohol Installation

Shin

Park

et al. 2013

Ann Rehabil Med

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The isolated idiopathic finger flexor tenosynovitis is a rare condition, related to diversed etiologies. The traditional treatment of flexor tenosynovitis includes medications and injection of steroids. If the conservative treatment is not effective, surgical management is usually recommended. And alcohol installations have been rarely performed. We are reporting an extremely rare case of a 56-year-old man who had chronic idiopathic isolated finger flexor tenosynovitis which was treated through alcohol injections. The patient had not yet been treated despite of medication and serial injections of steroid. We performed 1 mL of 50% ethanol injection for the initial treatment and the second injection was done in the same way 10 months later due to the improvements of the patient's clinical symptoms and images of the follow-up ultrasonography. As a result, the authors suggest alcohol installation as an alternative non-surgical treatment for flexor tenosynovitis when other conservative managements are not effective enough.

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Tuberculosis of the Hand

Cited by 54 publications

References 57 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

Musculoskeletal Tuberculosis in Dermatomyositis: Association or Coincidence?

Treatment of Chronic Isolated Finger Flexor Tenosynovitis Through 50% Dehydrated Alcohol Installation

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