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CASE REPORT
Year : 2020  |  Volume : 9  |  Issue : 2  |  Page : 167-171

Tuberculous involvement of multiple flexor and extensor tendon sheaths of hand and wrist


1 Department of Radiodiagnosis, Teerthanker Mahaveer Medical College and Research Centre, Moradabad, Uttar Pradesh, India
2 Department of Pathology, Teerthanker Mahaveer Medical College and Research Centre, Moradabad, Uttar Pradesh, India

Correspondence Address:
Ankur Malhotra
Department of Radiodiagnosis, Teerthanker Mahaveer Medical College and Research Centre, Moradabad - 244 001, Uttar Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/sjhs.sjhs_113_20

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Tuberculosis (TB) continues to be a major health burden in developing countries. It can be pulmonary or extrapulmonary, but involvement of tendon sheaths is extremely uncommon. Due to nonspecific clinical features and wide differentials, diagnosis is often delayed. Here, we report one such rare case, where a male patient presented with multiple, painless swellings over the wrist and hand and posed a diagnostic challenge on radiological investigations (ultrasonography and magnetic resonance imaging). The final diagnosis of TB tenosynovitis was confirmed only on histopathological examination. Tubercular tenosynovitis of hand is a rare entity, which mimics a variety of clinical conditions, often leading to delay in diagnosis and appropriate timely treatment. Thorough clinico-radiological and pathological examinations are thus necessary to diagnose this condition.


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