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