Bilateral hand dactylitis: An unusual presentation of the great imitator: Tuberculosis

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dc.authoridBulut Gokten, Dilara/0000-0002-9226-7532
dc.contributor.authorGokten, Dilara Bulut
dc.contributor.authorKavak, Fatma Yumun
dc.contributor.authorMercan, Ridvan
dc.date.accessioned2024-10-29T17:58:38Z
dc.date.available2024-10-29T17:58:38Z
dc.date.issued2024
dc.departmentTekirdağ Namık Kemal Üniversitesien_US
dc.description.abstractThe incidence of tuberculosis in developed countries has decreased over the years due to the use of effective tuberculosis drugs and improvements in socio-economic conditions. However, with the ease of global transport and increased travel to countries with high tuberculosis prevalence, the reduction in extrapulmonary tuberculosis cases has been less significant compared with the overall decrease in tuberculosis cases. Extrapulmonary tuberculosis can manifest in a variety of ways. Tuberculous dactylitis, a rare form of tuberculous osteomyelitis, was first described by Rankin in 1886. It mainly affects the short tubular bones in the hands and feet of children and is sometimes called 'spina ventosa'. A 42-year-old male patient initially presented to an external centre reporting swelling and pain in the hand joints of one year's duration. Despite one year of treatment with leflunomide and methylprednisolone (16 mg) and a history of methotrexate use during this period, he experienced no improvement. The patient's condition worsened after the start of sulfasalazine. Dermatological examination was performed due to the presence of haemorrhagic crusted papules and plaques on the ventral surface of both hands. A wound culture was taken, but no bacterial growth was observed. One week after the initial evaluation, the patient complained of persistent foul-smelling nasal discharge, which led to an evaluation by the infectious disease department. At this time, the Quantiferon test was positive. Mycobacterial culture on Days 1 and 3 showed growth of the Mycobacterium tuberculosis complex.en_US
dc.identifier.doi10.1093/mrcr/rxae003
dc.identifier.issn2472-5625
dc.identifier.pmid38226656en_US
dc.identifier.scopus2-s2.0-85198250251en_US
dc.identifier.urihttps://doi.org/10.1093/mrcr/rxae003
dc.identifier.urihttps://hdl.handle.net/20.500.11776/14432
dc.identifier.wosWOS:001154562900001en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherOxford Univ Pressen_US
dc.relation.ispartofModern Rheumatology Case Reportsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectTuberculosisen_US
dc.subjectdactylitisen_US
dc.subjectmycobacterium tuberculosisen_US
dc.titleBilateral hand dactylitis: An unusual presentation of the great imitator: Tuberculosisen_US
dc.typeArticleen_US

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