Chronic tenosynovitis of the hand – An unusual presentation of tuberculosis in children tenossinovite

Detalhes bibliográficos
Autor(a) principal: Vieira-Martins, Miguel
Data de Publicação: 2021
Outros Autores: Santos, Constança, Teixeira, Ana Luísa, Costa, Ricardo, Pon, Jorge, Rodrigues, Carlos
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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spelling 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
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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
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