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[Tuberculosis of the smaller joints].
Rofo : Fortschritte Auf Dem Gebiete Der Rontgenstrahlen Und Der Nuklearmedizin
|January 1, 1985
Summary
Articular tuberculosis, affecting hand and foot joints, now peaks in adults, not adolescents. Early diagnosis is crucial, as 45% of cases are misdiagnosed, with osteoporosis being a key radiological indicator.
Area of Science:
- Orthopedics
- Infectious Diseases
- Radiology
Background:
- Tuberculosis of joints (articular tuberculosis) primarily affects the hands and feet.
- The typical age of incidence has shifted from adolescence to adult life.
- Accurate and timely diagnosis remains a challenge in managing articular tuberculosis.
Purpose of the Study:
- To analyze the changing incidence of articular tuberculosis.
- To highlight the diagnostic challenges and common misdiagnoses.
- To identify key radiological signs for early detection and monitoring.
Main Methods:
- Retrospective analysis of 89 patients with tuberculosis of hand or foot joints.
- Review of diagnostic accuracy and patient history, including previous tuberculous infections.
- Evaluation of radiological findings at different stages of the disease.
Main Results:
- Peak incidence observed in adult patients, a shift from adolescence.
- A significant rate of incorrect diagnoses (45%) was noted.
- Previous tuberculous infection present in 40% of patients.
- Osteoporosis (bone atrophy) identified as an early radiological sign.
- Joint space narrowing, subchondral bone destruction, and carpal/tarsal bone fusion observed in later stages.
Conclusions:
- Articular tuberculosis incidence has shifted to adulthood.
- High rates of misdiagnosis underscore the need for increased awareness.
- Radiological signs like osteoporosis are vital for early diagnosis and management of articular tuberculosis.