Ong Y, Cheong P Y, Low Y P, Chong P Y
Family Health Service, Ministry of Health, Institute of Health, Singapore.
Singapore Med J. 1998 Apr;39(4):177-9.
Small joint arthritis is an uncommon manifestation of tuberculosis. We report a case of tuberculosis presenting as arthritis of the midtarsal joints with concomitant spinal involvement. This case illustrates the difficulties in diagnosing tuberculous arthritis as it has an insidious onset, paucity of constitutional symptoms, unremarkable early physical findings and frequent absence of associated pulmonary involvement. A high index of suspicion in high-risk individuals with chronic monoarthritis, is required to avoid delayed diagnosis.
小关节关节炎是结核病的一种罕见表现。我们报告一例以跗中关节关节炎伴脊柱受累为表现的结核病病例。该病例说明了结核性关节炎诊断的困难，因为其起病隐匿，全身症状不明显，早期体格检查无异常发现，且常无相关肺部受累表现。对于患有慢性单关节炎的高危个体，需要高度怀疑，以避免诊断延迟。
