Unusually prolonged course of tuberculous dactylitis with osteitis

Vanmarsenille, Jean-Marie; Berg, Bruno de; Houssiau, Frédéric; Selys, Jean de

doi:10.1016/s1297-319x(03)00068-x

Cited by 9 publications

(10 citation statements)

References 11 publications

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“…Confirmation of the clinical diagnosis is obtained by histopathology, and bacterial or fungal culture 81516…”

Section: Discussionmentioning

confidence: 99%

“…Skeletal tuberculosis accounts for 10-15% of cases of extrapulmonary tuberculosis 151718. Recently, the proportion of bone or joint tuberculosis has progressively increased to 27% 19.…”

Section: Discussionmentioning

confidence: 99%

“…The symptoms are those usually seen in musculoskeletal disorders; pain, stiffness, and swelling. The tuberculin test is positive in up to 90% of cases 27121520…”

Section: Discussionmentioning

confidence: 99%

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Concomitant cutaneous metastatic tuberculous abscesses and multifocal skeletal tuberculosis

Sezgin

Atilganoğlu²,

Yiğit

et al. 2008

Indian J Dermatol

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Tuberculosis, one of the oldest diseases known to affect humans is caused by the bacteria mycobacterium tuberculosis. The disease usually affects the lungs, although, in up to one third of cases, other organs are involved. Metastatic tuberculosis abscess is a rare form of skin tuberculosis. It is characterized by nodule and abscess formation throughout the body after hematogenous spread of mycobacterium tuberculosis from a primary focus during a period of impaired immunity. Tuberculosis osteomyelitis is also a rare form of extrapulmonary tuberculosis in pediatric age group. Skeletal tuberculosis pathogenesis is related to reactivation of hematogenous foci or spread from adjacent paravertebral lymph nodes. Weight-bearing joints are affected most commonly. Bilateral hand and foot bone involvement is rarely reported. We present a five-year-old girl with two very rare presentations of the disease such as osteomyelitis and metastatic skin abscess.

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“…Confirmation of the clinical diagnosis is obtained by histopathology, and bacterial or fungal culture 81516…”

Section: Discussionmentioning

confidence: 99%

“…Skeletal tuberculosis accounts for 10-15% of cases of extrapulmonary tuberculosis 151718. Recently, the proportion of bone or joint tuberculosis has progressively increased to 27% 19.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Concomitant cutaneous metastatic tuberculous abscesses and multifocal skeletal tuberculosis

Sezgin

Atilganoğlu²,

Yiğit

et al. 2008

Indian J Dermatol

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“…Elle serait due à une infestation hématogène plus importante et probablement récurrente du fait du contexte endémique et de l'état d'immunodépression relatif de notre patiente attesté par la négativité de l'IDR. La majorité des cas de tuberculose digitale sont des ostéites longtemps tolérées [4,10]. Sur le plan local, le symptôme le plus précoce est la douleur.…”

Section: Discussionunclassified

Dactylite tuberculeuse multifocale : à propos d’un cas

Hassen-Zrour¹,

Younès²,

Salah-Othman³

et al. 2008

Chirurgie de la Main

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“…In adults, the classical picture is flexor tenosynovitis with sparing of joint synovium and bone, and in children bony involvement is more common [30]. There are four broad radiological groupings to help indicate the underlying pathology: 1) fusiform soft tissue swelling with no obvious bony change; 2) periostitis and involucrum formation, which eventually results in cyst formation leading to the description "spina ventosa;" 3) diffuse infiltration with a honeycombing appearance; and 4) localized destruction with a reactive osteitis [31].…”

Section: Pathogenesismentioning

confidence: 99%

Dactylitis: Pathogenesis and clinical considerations

Healy

Helliwell

2006

Curr Rheumatol Rep

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Dactylitis is considered a hallmark feature of psoriatic arthritis (PsA), but it is found in other spondyloarthropathies, especially reactive arthritis, and other conditions (eg, sarcoidosis, gout, sickle cell disease, and a variety of infections). Dactylitis is difficult to define and assess with any level of consensus and consistency in PsA. A new objective measure has been developed to make assessment more uniform for clinical trials. The underlying pathophysiology has also been difficult to determine in spondyloarthropathy: synovitis, tenosynovitis, and enthesitis have all been recognized. The pathophysiology in other conditions varies but usually involves soft tissue and sometimes involves bone or joint. In non-spondyloarthropathies,treatment is determined by the underlying cause. Research on dactylitis treatment in PsA suffers from a paucity of trials and inconsistent outcome measurement. The only drug with good evidence of benefit from randomized controlled trials thus far is infliximab.

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Unusually prolonged course of tuberculous dactylitis with osteitis

Cited by 9 publications

References 11 publications

Concomitant cutaneous metastatic tuberculous abscesses and multifocal skeletal tuberculosis

Concomitant cutaneous metastatic tuberculous abscesses and multifocal skeletal tuberculosis

Dactylite tuberculeuse multifocale : à propos d’un cas

Dactylitis: Pathogenesis and clinical considerations

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