Chen W S, Eng H L
Department of Orthopedic Surgery, Chang-Gung Medical College, Kaoshsung, Taiwan.
J Rheumatol. 1994 Apr;21(4):763-5.
We describe a rare case of tuberculous tenosynovitis involving the first dorsal compartment at the wrist mimicking de Quervain's disease. Differentiation between tuberculous infection and de Quervain's disease is important since corticosteroid injection, appropriate in the latter, is detrimental in tuberculous tenosynovitis. Early culture and biopsy in suspicious cases provide accurate diagnosis.
我们描述了一例罕见的结核性腱鞘炎病例，累及腕部第一背侧腱鞘，酷似桡骨茎突狭窄性腱鞘炎。区分结核感染和桡骨茎突狭窄性腱鞘炎很重要，因为皮质类固醇注射对后者合适，但对结核性腱鞘炎有害。对可疑病例进行早期培养和活检可提供准确诊断。
