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跖趾关节结核性关节炎:一种罕见的发病部位。

Tuberculosis arthritis of the metatarsal phalangeal: a rare location.

作者信息

Berrady Mohamed Ali, Hmouri Ismael, Benabdesslam Amine, Berrada Mohamed Salah, El Yaacoubi Moradh

机构信息

Department of Orthopaedic Surgery and Traumatology, University Hospital Center Ibn Sina, Rabat, Morocco.

出版信息

Pan Afr Med J. 2014 Apr 29;17:323. doi: 10.11604/pamj.2014.17.323.4220. eCollection 2014.

Abstract

Tuberculosis TB is common in countries constituting endemic areas like Morocco, spinal sites represents half of osteo-articular locations, while peripheral locations in the limbs are rare. The authors relate in this observation the case of a particular location of tuberculosis arthritis. It is osteoarthritis of the metatarsophalangeal joint of the 2(nd) ray of the foot. Clinical signs were characterized by a moderately painful swelling of the dorsum of the foot with slow evolution. The definitive diagnosis was histologically obtained. Clinical cure was achieved after 09 months of medical treatment.

摘要

结核病(TB)在摩洛哥等构成流行地区的国家很常见,脊柱部位占骨-关节部位的一半,而四肢的外周部位则很少见。作者在此观察中讲述了一例特殊部位的结核性关节炎病例。它是足部第2跖趾关节的骨关节炎。临床体征的特征是足部背侧中度疼痛性肿胀,进展缓慢。最终通过组织学确诊。药物治疗9个月后实现了临床治愈。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f3a/4198287/ed542d9b0cd5/PAMJ-17-323-g001.jpg

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