Internal medicine (Tokyo, Japan) · 2017
Sporotrichal Tenosynovitis Diagnosed Helpfully by Musculoskeletal Ultrasonography.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Shimizu Takashi, Akita Shosuke, Harada Yoshinori, Oguro Eri, Okita Yasutaka, Shigesaka Minoru, Matsuoka Hidetoshi, Nii Takuro, Teshigawara Satoru, Kudo-Tanaka Eriko, Tsuji Soichiro, Matsushita Masato, Ohshima Shiro, Hoshida Yoshihiko, Hashimoto Jun, Saeki Yukihiko
Аннотация
A 72-year-old man presented with persistent oligoarthritis and positive results for rheumatoid factor and was suspected of having rheumatoid arthritis (RA). However, the musculoskeletal ultrasonography (MSUS) findings were not consistent with those of typical RA. He had undergone surgery for carpal tunnel syndrome, which allowed both histopathological and microbiological examinations to be performed. A synovial tissue culture was positive for Sporothrix schenckii, and he was diagnosed with sporotrichal tenosynovitis. He received anti-fungal therapy, and the sporotrichal tenosynovitis resolved. This case suggests that MSUS is a useful modality, and sporotrichal tenosynovitis, though rare, should be considered in the differential diagnosis of RA.