Atypical presentation of tuberculous tenosynovitis of the hand

Dear Sir,
Tuberculosis (TB) may affect almost any body tissue. Musculoskeletal TB, which may affect bones, tendons and bursa, is a rare form of extrapulmonary disease and occurs in about 1.3% of cases (Lakhanpal et al., 1987). The diagnosis of TB tenosynovitis is often delayed. Typically, patients with TB synovitis describe local pain and have a swelling on the hand with limitation in the range of motion of the fingers (Lakhanpal et al., 1987; Sueyoshi et al., 1996).