Foley-Nolan D, Deegan R I, Foley-Nolan A A, Barry C, Coughlan R J, Hone R
Department of Rheumatology, Mater Misericordiae Hospital, Dublin.
Ir Med J. 1991 Jun;84(2):72-3.
Skeletal tuberculosis is an uncommon form of tuberculosis. During the period 1977-87, the number of cases diagnosed in two Dublin hospitals has remained at a constant level. The present study reports on 36 adults with skeletal tuberculosis and shows more frequent extraspinal involvement than other studies. The long duration of symptoms prior to diagnosis of 10.79 (+/- 8.8) months suggests that tuberculosis is not being considered early in the course of unexplained inflammatory arthritides especially in the elderly patient. The under utilisation of the Mantoux test in diagnosis is also a matter of concern.
骨结核是一种罕见的结核病形式。在1977年至1987年期间，都柏林两家医院诊断出的病例数量一直保持在稳定水平。本研究报告了36例成年骨结核患者，结果显示与其他研究相比，脊柱外受累更为常见。诊断前症状持续时间长达10.79（±8.8）个月，这表明在不明原因的炎性关节炎病程早期，尤其是老年患者中，未考虑到结核病。结核菌素试验在诊断中的应用不足也令人担忧。
