title: Osteoarticular tuberculosis mimicking rheumatoid arthritis.
abstract: Tuberculosis (TB) remains a global burden despite extensive efforts to control it. TB arthritis commonly manifest as monoarthritis of weight-bearing joints. We report a rare presentation of osteoarticular TB involving multiple small joints of the hands, which mimicked rheumatoid arthritis (RA). Magnetic resonance imaging showed tenosynovitis. The patient was initially treated for seronegative RA but failed to respond. Subsequently, synovial biopsy led to the diagnosis. Antituberculosis treatment was given for 1 year.
authors.affiliation: Department of Rheumatology, Hospital Raja Permaisuri Bainun, Jalan Hospital, Perak, Malaysia. ongps@hotmail.com
authors.forename: Ong Ping
authors.initials: OP
authors.lastname: Seung
authors.forename: Wahinuddin
authors.initials: W
authors.lastname: Sulaiman
mesh_terms: D000995:Antitubercular Agents / Q000627:therapeutic use; D001172:Arthritis, Rheumatoid / Q000175:diagnosis*; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D008875:Middle Aged; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification; D014394:Tuberculosis, Osteoarticular / Q000175:diagnosis* / Q000188:drug therapy
chemical_list: D000995:Antitubercular Agents