Arthritis in the right great toe as the clinical presentation of tuberculosis

Arthritis involving the first MTP joint is not an uncommon observation in daily clinical practice. Gout is the most frequent cause. However, in the evaluation of any monarthritis, arthrocentesis should be considered, especially when no cause can be identified based on a confirmed previous diagnosis....

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Veröffentlicht in:	Arthritis and rheumatism 1998-02, Vol.41 (2), p.374-375
Hauptverfasser:	García‐Porrúa, Carlos, González‐Gay, Miguel A., Sánchez‐Andrade, Amalia, Vázquez‐Caruncho, Manuel
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Arthritis, Reactive - diagnostic imaging Arthritis, Reactive - microbiology Bacterial diseases Biological and medical sciences Calcinosis - diagnostic imaging Female Human bacterial diseases Humans Infectious diseases Medical sciences Metatarsophalangeal Joint - diagnostic imaging Radiography Toes - diagnostic imaging Toes - microbiology Tuberculosis and atypical mycobacterial infections Tuberculosis, Osteoarticular - diagnostic imaging
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Beschreibung
Zusammenfassung:	Arthritis involving the first MTP joint is not an uncommon observation in daily clinical practice. Gout is the most frequent cause. However, in the evaluation of any monarthritis, arthrocentesis should be considered, especially when no cause can be identified based on a confirmed previous diagnosis. Open synovial biopsy disclosed caseating granulomata, and culture of the synovium was positive for Mycobacterium tuberculosis.
ISSN:	0004-3591 1529-0131
DOI:	10.1002/1529-0131(199802)41:2<374::AID-ART24>3.0.CO;2-O