161 Isolated tuberculosis of the wrist: elusive but destructive

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[Osteoarticular tuberculosis with destructive wrist arthritis secondary to extrapulmonary tuberculosis].

A case is presented of a 69 year old male patient with a history of wrist fracture from over 50 years ago with pain refractory to analgesics and with joint destruction of the wrist in conventional radiology. We have conducted a review of extrapulmonary tuberculous osteoarthritis discussing the diagnosis and treatment of this unusual presentation of the disease.

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Case: Isolated talus osteomyelitis caused by Koch's bacillus (BK) is extremely rare. In this paper we report an isolated talus bone tuberculosis in a 52 year-old man who presented a 2-month history of swelling, pain and functional disability of his right ankle. Surgical bone curetting and histological examination showed granuloma with central caseating necrosis. Acid fast stain and PCR examin...

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Wrist swelling – Is it tuberculosis?

The hand and wrist are rare sites for tuberculosis (TB) and account for < 1% of all skeletal TB. Though rare, TB of the wrist is a cause of major morbidity. A common feature in the available reports on wrist TB is a delay in diagnosis causing residual stiffness and pain after treatment. Although TB of the wrist has a varied presentation, the majority of lesions respond to conservative treatment...

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Unilateral destructive wrist synovitis in juvenile idiopathic arthritis.

OBJECTIVE To describe the clinical and radiographic features of a group of juvenile idiopathic arthritis (JIA) patients who developed unilateral destructive wrist synovitis. METHODS All wrist radiographs performed yearly between 1986 and 2002 in JIA patients who had wrist involvement were retrospectively reviewed to identify patients who had unilateral erosive wrist synovitis, defined as a di...

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ژورنال

عنوان ژورنال: Rheumatology

سال: 2018

ISSN: 1462-0324,1462-0332

DOI: 10.1093/rheumatology/key075.385