Tubercular synovitis mimicking rheuma toid nodules

Teo, S.C. and George, J. and Kamarul, Tunku (2008) Tubercular synovitis mimicking rheuma toid nodules. Medical Journal of Malaysia, 63 (2). pp. 159-161. ISSN 0300-5283,

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Tubercular tenosynovitis is an uncommon condition and usually affects the upper limb. We report a case of a patient with Systemic Lupus Erythematosus who presented with wrist swelling. The clinical findings were suggestive of rheumatoid nodules, but the radiographic finding of calcification associated with the nodules and marked erosive changes primarily of the radio-carpal joint with sparing of the metacarpal joints led the radiologist to believe that the nodules may not be rheumatoid nodules. The presence of solid and fluid nature of the nodule and hyperechoic small echogenic foci (matted rice bodies within thickened synovium) on ultrasound suggested the presence of chronic synovitis of tuberculous infection rather than rheumatoid nodule as in our case. We recommend the use of ultrasound to determine the nature of nodular swellings seen clinically in patients with arthropathy.

Item Type: Article
Additional Information: Department of Radiology, Faculty of Medicine, University of Malaya, Lembah Pantai, 50603 Kuala Lumpur, Malaysia, **Hand and Microsurgery Unit, Department of Orthopaedic Surgery, Faculty of Medicine, University of Malaya, Lembah Pantai, 50603 Kuala Lumpur, Malaysi
Uncontrolled Keywords: Tuberculosis; Synovitis; Systemic Lupus Erythematosus; Rheumatoid Nodules
Subjects: R Medicine
Divisions: Faculty of Medicine
Depositing User: Ms Haslinda Lahuddin
Date Deposited: 07 Jun 2012 06:48
Last Modified: 27 Feb 2019 04:27

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