Chronic tenosynovitis of the hand – An unusual presentation of tuberculosis in children tenossinovite
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10400.16/2516 |
Resumo: | Tuberculosis remains the most common cause of death from infectious diseases worldwide. Extrapulmonary tuberculosis with musculoskeletal involvement occurs in about 10-15% of cases, mainly affecting joints and bones. Of these, only 1-5% are reported as synovitis of the hand. However, prompt diagnosis and treatment are often delayed and, if left untreated, bone and tendon destruction soon ensue and may lead to chronic synovitis. A 15-year-old girl presented with recurrent pain of the hand following trauma. Imaging showed tenosynovitis and tendon rupture. Surgical treatment was performed. Pathological assessment revealed necrotic caseous granulomas. Chest radiography showed no abnormal findings, but both Tuberculin Skin Test and Interferon Gamma-Release Assay were positive. Tuberculous tenosynovitis was diagnosed, and 12-month anti-tuberculous chemotherapy was instated. Five years after surgery, the patient maintained chronic pain and functional hand limitation. Tuberculous tenosynovitis of the hand is a rare and insidious condition that should be considered in the differential diagnosis of chronic hand pain. Delayed diagnosis and treatment can lead to residual functional limitation, making disease recognition critical. |
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Chronic tenosynovitis of the hand – An unusual presentation of tuberculosis in children tenossinoviteCrónica da mão – Uma apresentação incomum de tuberculose em idade pediátricachronic hand paintenosynovitistuberculosisTuberculosis remains the most common cause of death from infectious diseases worldwide. Extrapulmonary tuberculosis with musculoskeletal involvement occurs in about 10-15% of cases, mainly affecting joints and bones. Of these, only 1-5% are reported as synovitis of the hand. However, prompt diagnosis and treatment are often delayed and, if left untreated, bone and tendon destruction soon ensue and may lead to chronic synovitis. A 15-year-old girl presented with recurrent pain of the hand following trauma. Imaging showed tenosynovitis and tendon rupture. Surgical treatment was performed. Pathological assessment revealed necrotic caseous granulomas. Chest radiography showed no abnormal findings, but both Tuberculin Skin Test and Interferon Gamma-Release Assay were positive. Tuberculous tenosynovitis was diagnosed, and 12-month anti-tuberculous chemotherapy was instated. Five years after surgery, the patient maintained chronic pain and functional hand limitation. Tuberculous tenosynovitis of the hand is a rare and insidious condition that should be considered in the differential diagnosis of chronic hand pain. Delayed diagnosis and treatment can lead to residual functional limitation, making disease recognition critical.Centro Hospitalar Universitário do PortoRepositório Científico do Centro Hospitalar Universitário de Santo AntónioVieira-Martins, MiguelSantos, ConstançaTeixeira, Ana LuísaCosta, RicardoPon, JorgeRodrigues, Carlos2021-10-14T11:08:33Z2021-092021-09-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.16/2516engVieira-Martins M, Santos C, Teixeira AL, Costa R, Pon J, Rodrigues C, Nascer e Crescer - Birth and Growth Medical Journal 2020;30(3): 175-178. doi:10.25753/BirthGrowthMJ.v30.i3.203022183-941710.25753/BirthGrowthMJ.v30.i3.20302info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-10-20T11:00:59Zoai:repositorio.chporto.pt:10400.16/2516Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T20:38:43.596465Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Chronic tenosynovitis of the hand – An unusual presentation of tuberculosis in children tenossinovite Crónica da mão – Uma apresentação incomum de tuberculose em idade pediátrica |
title |
Chronic tenosynovitis of the hand – An unusual presentation of tuberculosis in children tenossinovite |
spellingShingle |
Chronic tenosynovitis of the hand – An unusual presentation of tuberculosis in children tenossinovite Vieira-Martins, Miguel chronic hand pain tenosynovitis tuberculosis |
title_short |
Chronic tenosynovitis of the hand – An unusual presentation of tuberculosis in children tenossinovite |
title_full |
Chronic tenosynovitis of the hand – An unusual presentation of tuberculosis in children tenossinovite |
title_fullStr |
Chronic tenosynovitis of the hand – An unusual presentation of tuberculosis in children tenossinovite |
title_full_unstemmed |
Chronic tenosynovitis of the hand – An unusual presentation of tuberculosis in children tenossinovite |
title_sort |
Chronic tenosynovitis of the hand – An unusual presentation of tuberculosis in children tenossinovite |
author |
Vieira-Martins, Miguel |
author_facet |
Vieira-Martins, Miguel Santos, Constança Teixeira, Ana Luísa Costa, Ricardo Pon, Jorge Rodrigues, Carlos |
author_role |
author |
author2 |
Santos, Constança Teixeira, Ana Luísa Costa, Ricardo Pon, Jorge Rodrigues, Carlos |
author2_role |
author author author author author |
dc.contributor.none.fl_str_mv |
Repositório Científico do Centro Hospitalar Universitário de Santo António |
dc.contributor.author.fl_str_mv |
Vieira-Martins, Miguel Santos, Constança Teixeira, Ana Luísa Costa, Ricardo Pon, Jorge Rodrigues, Carlos |
dc.subject.por.fl_str_mv |
chronic hand pain tenosynovitis tuberculosis |
topic |
chronic hand pain tenosynovitis tuberculosis |
description |
Tuberculosis remains the most common cause of death from infectious diseases worldwide. Extrapulmonary tuberculosis with musculoskeletal involvement occurs in about 10-15% of cases, mainly affecting joints and bones. Of these, only 1-5% are reported as synovitis of the hand. However, prompt diagnosis and treatment are often delayed and, if left untreated, bone and tendon destruction soon ensue and may lead to chronic synovitis. A 15-year-old girl presented with recurrent pain of the hand following trauma. Imaging showed tenosynovitis and tendon rupture. Surgical treatment was performed. Pathological assessment revealed necrotic caseous granulomas. Chest radiography showed no abnormal findings, but both Tuberculin Skin Test and Interferon Gamma-Release Assay were positive. Tuberculous tenosynovitis was diagnosed, and 12-month anti-tuberculous chemotherapy was instated. Five years after surgery, the patient maintained chronic pain and functional hand limitation. Tuberculous tenosynovitis of the hand is a rare and insidious condition that should be considered in the differential diagnosis of chronic hand pain. Delayed diagnosis and treatment can lead to residual functional limitation, making disease recognition critical. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-10-14T11:08:33Z 2021-09 2021-09-01T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10400.16/2516 |
url |
http://hdl.handle.net/10400.16/2516 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Vieira-Martins M, Santos C, Teixeira AL, Costa R, Pon J, Rodrigues C, Nascer e Crescer - Birth and Growth Medical Journal 2020;30(3): 175-178. doi:10.25753/BirthGrowthMJ.v30.i3.20302 2183-9417 10.25753/BirthGrowthMJ.v30.i3.20302 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Centro Hospitalar Universitário do Porto |
publisher.none.fl_str_mv |
Centro Hospitalar Universitário do Porto |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
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1799133647751610368 |