Isolated tenosynovitis as a sole manifestation: The great mimicker still continues to surprise Us
A middle aged male presented with non-tender cystic swelling over left distal forearm since 1 year. No other cutaneous abnormality could be found except mild paresthesia of the overlying skin and equivocal thickening of the ipsilateral ulnar nerve. Routine investigation was within normal limits. Det...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2015-01-01
|
| Series: | Indian Journal of Dermatology |
| Subjects: | |
| Online Access: | http://www.e-ijd.org/article.asp?issn=0019-5154;year=2015;volume=60;issue=2;spage=213;epage=213;aulast=De |
| _version_ | 1819077608056291328 |
|---|---|
| author | Abhishek De Trupti V Surana Saugato Biswas Abu Hena Hasanoor Reja Gobinda Chatterjee |
| author_facet | Abhishek De Trupti V Surana Saugato Biswas Abu Hena Hasanoor Reja Gobinda Chatterjee |
| author_sort | Abhishek De |
| collection | DOAJ |
| description | A middle aged male presented with non-tender cystic swelling over left distal forearm since 1 year. No other cutaneous abnormality could be found except mild paresthesia of the overlying skin and equivocal thickening of the ipsilateral ulnar nerve. Routine investigation was within normal limits. Detailed workup of the patient including MRI of the lesion suggested the diagnosis as tenosynovitis with a soft tissue mass. Fine needle aspiration cytology from the cyst showed foamy macrophages and acid fast bacilli; while PCR of the aspirate confirmed the etiological agent as M. leprae. We, thus, report a unique case of isolated tenosynovitis as a sole manifestation of pure neural leprosy which is extremely rare in world literature. |
| first_indexed | 2024-12-21T18:59:54Z |
| format | Article |
| id | doaj.art-cf5efb771b034db984b79f41d7664638 |
| institution | Directory Open Access Journal |
| issn | 0019-5154 1998-3611 |
| language | English |
| last_indexed | 2024-12-21T18:59:54Z |
| publishDate | 2015-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Dermatology |
| spelling | doaj.art-cf5efb771b034db984b79f41d76646382022-12-21T18:53:31ZengWolters Kluwer Medknow PublicationsIndian Journal of Dermatology0019-51541998-36112015-01-0160221321310.4103/0019-5154.152577Isolated tenosynovitis as a sole manifestation: The great mimicker still continues to surprise UsAbhishek DeTrupti V SuranaSaugato BiswasAbu Hena Hasanoor RejaGobinda ChatterjeeA middle aged male presented with non-tender cystic swelling over left distal forearm since 1 year. No other cutaneous abnormality could be found except mild paresthesia of the overlying skin and equivocal thickening of the ipsilateral ulnar nerve. Routine investigation was within normal limits. Detailed workup of the patient including MRI of the lesion suggested the diagnosis as tenosynovitis with a soft tissue mass. Fine needle aspiration cytology from the cyst showed foamy macrophages and acid fast bacilli; while PCR of the aspirate confirmed the etiological agent as M. leprae. We, thus, report a unique case of isolated tenosynovitis as a sole manifestation of pure neural leprosy which is extremely rare in world literature.http://www.e-ijd.org/article.asp?issn=0019-5154;year=2015;volume=60;issue=2;spage=213;epage=213;aulast=DePCRpure neuritic leprosytenosynovitis |
| spellingShingle | Abhishek De Trupti V Surana Saugato Biswas Abu Hena Hasanoor Reja Gobinda Chatterjee Isolated tenosynovitis as a sole manifestation: The great mimicker still continues to surprise Us Indian Journal of Dermatology PCR pure neuritic leprosy tenosynovitis |
| title | Isolated tenosynovitis as a sole manifestation: The great mimicker still continues to surprise Us |
| title_full | Isolated tenosynovitis as a sole manifestation: The great mimicker still continues to surprise Us |
| title_fullStr | Isolated tenosynovitis as a sole manifestation: The great mimicker still continues to surprise Us |
| title_full_unstemmed | Isolated tenosynovitis as a sole manifestation: The great mimicker still continues to surprise Us |
| title_short | Isolated tenosynovitis as a sole manifestation: The great mimicker still continues to surprise Us |
| title_sort | isolated tenosynovitis as a sole manifestation the great mimicker still continues to surprise us |
| topic | PCR pure neuritic leprosy tenosynovitis |
| url | http://www.e-ijd.org/article.asp?issn=0019-5154;year=2015;volume=60;issue=2;spage=213;epage=213;aulast=De |
| work_keys_str_mv | AT abhishekde isolatedtenosynovitisasasolemanifestationthegreatmimickerstillcontinuestosurpriseus AT truptivsurana isolatedtenosynovitisasasolemanifestationthegreatmimickerstillcontinuestosurpriseus AT saugatobiswas isolatedtenosynovitisasasolemanifestationthegreatmimickerstillcontinuestosurpriseus AT abuhenahasanoorreja isolatedtenosynovitisasasolemanifestationthegreatmimickerstillcontinuestosurpriseus AT gobindachatterjee isolatedtenosynovitisasasolemanifestationthegreatmimickerstillcontinuestosurpriseus |