tuberculous dactylitis; spina ventosa
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Etiology
Clinical manifestations
- pain & swelling of finger[2]
- pain & swelling on dorsum of hand over metacarpal
Laboratory
Radiology
- X-ray of hand
- slightly thinned cortex surrounding a lytic core with trabecular pieces on metacarpal bone (case report)[1]
- no periosteal reaction[1]
- chest X-ray to rule out pulmonary tuberculosis Differetial diagnosis:
- osteomyelitis
- sarcoidosis
- enchondroma
Management
- see tuberculosis
Notes
- case report[2] in patient with lupus on mycophenolate & prednisone with household exposure to pulmonary tuberculosis
More general terms
References
- ↑ 1.0 1.1 1.2 Baeza-Trinidad R, Oteo Revuelta JA Spina Ventosa N Engl J Med 2015; 372:e18. March 26, 2015 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/25806937 <Internet> http://www.nejm.org/doi/full/10.1056/NEJMicm1315601
- ↑ 2.0 2.1 2.2 Mandal J, Margaretten M Tuberculosis of the Finger. N Engl J Med 2018; 379:1161 PMID: https://www.ncbi.nlm.nih.gov/pubmed/30231233 Free full text https://www.nejm.org/doi/full/10.1056/NEJMicm1800879