CASE REPORT: TUBERCULOUS ARTHRITIS OF PERIPHERAL JOINTS IN PATIENTS WITH PREVIOUS INFLAMMATORY RHEUMATIC DISEASE

Abstract
Four patients with a previous inflammatory rheumatic disease developed a peripheral tuberculous (TB) arthritis in a joint apparently affected by a rheumatic disease. The single most important factor in the diagnosis of TB was the presence of past or present pulmonary TB or a family history on a background of steroid use. Clinical presentation, disease evolution, and routine laboratory tests were unhelpful. The most effective method of diagnosis was synovial biopsy.

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