Document Detail

Tubercular synovitis mimicking rheumatoid nodules.
MedLine Citation:
PMID:  18942309     Owner:  NLM     Status:  MEDLINE    
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.
S C Teo; J George; T Kamarul
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Medical journal of Malaysia     Volume:  63     ISSN:  0300-5283     ISO Abbreviation:  Med. J. Malaysia     Publication Date:  2008 Jun 
Date Detail:
Created Date:  2008-10-23     Completed Date:  2008-11-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0361547     Medline TA:  Med J Malaysia     Country:  Malaysia    
Other Details:
Languages:  eng     Pagination:  159-61     Citation Subset:  IM    
Department of Radiology, Faculty of Medicine, University of Malaya, Lembah Pantai, 50603 Kuala Lumpur, Malaysia.
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MeSH Terms
Diagnosis, Differential
Middle Aged
Rheumatoid Nodule / diagnosis*
Synovitis / diagnosis*
Tuberculosis, Osteoarticular / diagnosis*

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