手腕肿胀——是结核病吗？
Wrist swelling - Is it tuberculosis?
作者信息
Shah Miti Aatish, Shah Ira
机构信息
Department of Pediatrics, Paediatric TB Clinic, B. J. Wadia Hospital for Children, Mumbai, Maharashtra, India.
出版信息
J Family Med Prim Care. 2017 Oct-Dec;6(4):865-866. doi: 10.4103/jfmpc.jfmpc_200_17.
The hand and wrist are rare sites for tuberculosis (TB) and account for < 1% of all skeletal TB. Though rare, TB of the wrist is a cause of major morbidity. A common feature in the available reports on wrist TB is a delay in diagnosis causing residual stiffness and pain after treatment. Although TB of the wrist has a varied presentation, the majority of lesions respond to conservative treatment. We report a 12-year-old girl who presented with wrist swelling, having intercarpal, carpometacarpal, and radiocarpal joint involvement which turned out to be tuberculous and it healed with residual deformity.
手部和腕部是结核病（TB）的罕见发病部位，占所有骨骼结核的比例不到1%。尽管罕见，但腕部结核是导致严重发病的原因之一。现有关于腕部结核的报告中的一个共同特征是诊断延迟，导致治疗后残留僵硬和疼痛。虽然腕部结核的表现多样，但大多数病变对保守治疗有反应。我们报告一名12岁女孩，她因腕部肿胀就诊，腕骨间关节、腕掌关节和桡腕关节均受累，结果诊断为结核，经治疗后愈合，但遗留了畸形。
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