Department of Rheumatology, Hospital Raja Permaisuri Bainun, Jalan Hospital, Perak, Malaysia.
Mod Rheumatol. 2012 Nov;22(6):931-3. doi: 10.1007/s10165-012-0605-1. Epub 2012 Mar 8.
Tuberculosis (TB) remains a global burden despite extensive efforts to control it. TB arthritis commonly manifest as monoarthritis of weight-bearing joints. We report a rare presentation of osteoarticular TB involving multiple small joints of the hands, which mimicked rheumatoid arthritis (RA). Magnetic resonance imaging showed tenosynovitis. The patient was initially treated for seronegative RA but failed to respond. Subsequently, synovial biopsy led to the diagnosis. Antituberculosis treatment was given for 1 year.
尽管在控制结核病方面已经做出了广泛的努力，但结核病（TB）仍然是一个全球性的负担。结核病关节炎通常表现为承重关节的单关节炎。我们报告了一种罕见的骨关节炎结核表现，涉及手部多个小关节，类似于类风湿关节炎（RA）。磁共振成像显示腱鞘炎。患者最初被诊断为血清阴性类风湿关节炎，但治疗无效。随后，滑膜活检明确了诊断。给予抗结核治疗 1 年。
