Department of Radiology, Gülhane Military Medical Academy, Ankara, Turkey.
Diagn Interv Radiol. 2009 Dec;15(4):266-8. doi: 10.4261/1305-3825.DIR.1506-07.1. Epub 2009 Oct 27.
Atypical mycobacterial tenosynovitis of the wrist can easily be misdiagnosed as synovial chondromatosis. Both sonography and magnetic resonance imaging plays an important role in depicting "rice bodies" within the distended tendon sheaths and bursae of atypical mycobacterial infection. An endemic place for Mycobacterium species and the occupation of the patient should raise the suspicion for the disease. Polymerase chain reaction of the distended tendon fluid is a sensitive, specific and rapid method in identification of the mycobacteria.
腕部非典型分枝杆菌腱鞘炎很容易被误诊为滑膜软骨瘤病。超声和磁共振成像在描绘非典型分枝杆菌感染引起的扩张肌腱鞘和滑囊内的“米粒体”方面都发挥着重要作用。分枝杆菌的流行地区和患者的职业应该引起对这种疾病的怀疑。扩张肌腱液的聚合酶链反应是一种敏感、特异和快速的分枝杆菌鉴定方法。
