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Related Experiment Videos

Multifocal tuberculosis.

T S S Lakshmi1, Rao A Gnaneshwar

  • 1Department of Dermatology, Osmania General Hospital, Hyderabad-500 012, India.

Indian Journal of Dermatology, Venereology and Leprology
|July 28, 2007
PubMed
Summary
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Disseminated superficial porokeratosis.

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Multi focal tuberculosis.

Indian journal of dermatology, venereology and leprology·2007
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Study of upper gastrointestinal tract involvement in pemphigus by esophago-gastro-duodenoscopy.

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Comparison of two systems of classification of leprosy based on number of skin lesions and number of body areas involved--a clinicopathological concordance study.

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Allergic contact dermatitis of the hands and/or feet--common sensitizers.

Contact dermatitis·2005

Tuberculosis can manifest in the hands, causing bone lesions and sinus formation. Early diagnosis and anti-tuberculosis treatment led to clinical improvement in this case.

Area of Science:

  • Medical Microbiology
  • Orthopedic Surgery
  • Infectious Diseases

Background:

  • Tuberculosis (TB) is a significant global health concern, primarily affecting the lungs.
  • Extrapulmonary tuberculosis, including skeletal involvement, presents diagnostic challenges.
  • Tuberculous gumma is a rare manifestation of tuberculosis.

Purpose of the Study:

  • To report a case of tuberculous gumma presenting with hand and finger deformities.
  • To highlight the diagnostic process for skeletal tuberculosis.
  • To emphasize the importance of prompt anti-tuberculosis treatment.

Main Methods:

  • Clinical presentation of a 19-year-old male with swellings and sinuses on hands and elbow.
  • Radiographic investigations including chest X-ray and hand X-rays.

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  • Microbiological confirmation via Acid-Fast Bacilli (AFB) culture on Lowenstein-Jensen medium.
  • Initiation of anti-tuberculosis therapy (ATT).

    • Main Results:

    • X-ray chest revealed apical cavity and infiltration, indicative of pulmonary tuberculosis.
    • X-rays of both hands showed osteolytic lesions with pathological fractures.
    • AFB was successfully cultured, confirming tuberculosis.
    • The patient showed clinical improvement after commencing ATT.

    Conclusions:

    • Tuberculous gumma can present with unusual cutaneous and skeletal manifestations.
    • A high index of suspicion is required for diagnosing extrapulmonary tuberculosis.
    • Effective treatment with ATT leads to favorable outcomes in skeletal tuberculosis.