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M9480141.TXT
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1994-08-09
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Document 0141
DOCN M9480141
TI [Rapidly growing tumor of the hand--is tuberculosis as differential
diagnosis gaining increased importance?]
DT 9410
AU Weber P; Rosslein R; Kinderchirurgischen Universitatsklinik,
Kinderspital Basel.
SO Handchir Mikrochir Plast Chir. 1994 Mar;26(2):91-4. Unique Identifier :
AIDSLINE MED/94292059
AB A two-year-old healthy, Portuguese girl presented with a prominent,
painless tumor over the first web space of the left hand. The tumor
increased rapidly in size over a few weeks, but caused no functional
problems. On X-ray films, a cystic structure of the first metacarpal
bone with erosion of the corticalis was demonstrated. At operation, a
cold abscess was found. Bacterial examination of the gastric juice
showed acid-resistant bacilli. The spina ventosa (Latin: Spina-a thorn;
ventosa-full of wind, distended) is a typical extrapulmonary
manifestation of tuberculosis in phalangeal, metacarpal, and metatarsal
bones of children. The recognition of this diagnosis is very important
and will become more so in the future as it has already been seen in
HIV-positive children in the USA, as well as in immuno-suppressed
children and in un-vaccinated and malnourished children from war zones
in eastern Europe.
DE Bone Regeneration/PHYSIOLOGY Case Report Child, Preschool Combined
Modality Therapy Diagnosis, Differential Drug Therapy, Combination
English Abstract Female Human Isoniazid/ADMINISTRATION & DOSAGE
Magnetic Resonance Imaging *Metacarpus/PATHOLOGY/SURGERY
Rifampin/ADMINISTRATION & DOSAGE Tuberculosis,
Osteoarticular/*DIAGNOSIS/PATHOLOGY/SURGERY JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).