Kalia Vishal, Garvin Gregory, Yan Yi, Kalia Vibhuti
Department of Medical Imaging,St. Joseph's Health Care London, 268 Grosvenor St, London, Ontario, Canada, N6A 4V2.
Radiol Case Rep. 2024 Nov 27;20(2):1064-1068. doi: 10.1016/j.radcr.2024.11.004. eCollection 2025 Feb.
Rice bodies secondary to synovial inflammation, typically occur in the shoulders and knees of individuals affected by either rheumatoid arthritis or tuberculosis. It is uncommon to encounter these in nontubercular mycobacterial tenosynovitis especially in wrist extensor compartment. Understanding this condition and its distinctive imaging features is crucial for both treating clinicians and radiologists. In this case study, we present the imaging findings of a rare occurrence of tenosynovitis of the fourth extensor compartment in the wrist with the formation of rice bodies due to Mycobacterium avium intracellulare. We have chosen to document this case to emphasize its importance in considering the differential diagnosis of extensor tenosynovitis with rice bodies.
继发于滑膜炎症的米粒体通常出现在类风湿关节炎或结核病患者的肩部和膝部。在非结核分枝杆菌腱鞘炎中,尤其是在腕背伸肌间隙中,很少见到这些米粒体。了解这种疾病及其独特的影像学特征对临床治疗医生和放射科医生都至关重要。在本病例研究中,我们展示了一例罕见的由胞内鸟分枝杆菌引起的腕部第四伸肌间隙腱鞘炎并形成米粒体的影像学表现。我们选择记录这个病例,以强调其在考虑伴有米粒体的伸肌腱鞘炎鉴别诊断中的重要性。