診断が遅延した結核性手関節炎の1例

抄録

An 82 years old man with four large tumors on his left forearm visited our hospital in July 1991. At first these tumors were suspected to be malignant. Xray, bone-scintigram and angiogram of the forearm suggested malignant tumors. There was no evidence of tuberculosis on the chest Xray when first taken. Six months later the tumor developed, producing a fistula and the patient decided to be admitted for surgery. A diagnosis of tuberculosis was made and administration of INH RFP EB was effective. It is important to be aware that tuberculosis sometimes closely resembles malignant tumors. Therefore, if a malignant tumor is suspected biopsy is necessary to make a diagnosis, keeping tuberculosis in mind.