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© 1988 British Society for Rheumatology

case-report

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

C. HORTAS, J. L. FERREIRO, B. GALDO, F. J. ARASA, C. BARBAZAN, A. J. MERA and J. A. MOSQUERA

Departments of Rheumatology Povisa, Vigo; Xeral Hospital, Vigo, and Hospital Juan, Canalejo, La Coruna, Spain

Correspondence to: Address correspondence to Dr. C. Hortas, Travesia de Vigo 95-2°-E, 36206 Vigo, Spain.

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.

KEY WORDS: Mycobacterium, Infection, Steroids, Gout, SLE, Polyarthritis


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