Tubercular synovitis mimicking rheumatoid nodules
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 associat...
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| Format: | Article |
| Language: | English |
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Malaysian Medical Association
2008
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| Online Access: | http://eprints.um.edu.my/24595/1/Tubercular_Synovitis.pdf |
| _version_ | 1825722277936758784 |
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| author | Teoh, Soo Chin George, J. Kamarul, Tunku |
| author_facet | Teoh, Soo Chin George, J. Kamarul, Tunku |
| author_sort | Teoh, Soo Chin |
| collection | UM |
| description | 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. |
| first_indexed | 2024-03-06T06:03:13Z |
| format | Article |
| id | um.eprints-24595 |
| institution | Universiti Malaya |
| language | English |
| last_indexed | 2024-03-06T06:03:13Z |
| publishDate | 2008 |
| publisher | Malaysian Medical Association |
| record_format | dspace |
| spelling | um.eprints-245952020-06-03T06:09:57Z http://eprints.um.edu.my/24595/ Tubercular synovitis mimicking rheumatoid nodules Teoh, Soo Chin George, J. Kamarul, Tunku R Medicine 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. Malaysian Medical Association 2008 Article PeerReviewed text en http://eprints.um.edu.my/24595/1/Tubercular_Synovitis.pdf Teoh, Soo Chin and George, J. and Kamarul, Tunku (2008) Tubercular synovitis mimicking rheumatoid nodules. Medical Journal of Malaysia, 63 (2). pp. 159-161. ISSN 0300-5283, http://www.e-mjm.org/2008/v63n2/Tubercular_Synovitis.pdf |
| spellingShingle | R Medicine Teoh, Soo Chin George, J. Kamarul, Tunku Tubercular synovitis mimicking rheumatoid nodules |
| title | Tubercular synovitis mimicking rheumatoid nodules |
| title_full | Tubercular synovitis mimicking rheumatoid nodules |
| title_fullStr | Tubercular synovitis mimicking rheumatoid nodules |
| title_full_unstemmed | Tubercular synovitis mimicking rheumatoid nodules |
| title_short | Tubercular synovitis mimicking rheumatoid nodules |
| title_sort | tubercular synovitis mimicking rheumatoid nodules |
| topic | R Medicine |
| url | http://eprints.um.edu.my/24595/1/Tubercular_Synovitis.pdf |
| work_keys_str_mv | AT teohsoochin tubercularsynovitismimickingrheumatoidnodules AT georgej tubercularsynovitismimickingrheumatoidnodules AT kamarultunku tubercularsynovitismimickingrheumatoidnodules |