{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T20:08:59Z","timestamp":1778270939182,"version":"3.51.4"},"reference-count":12,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2024,1,16]],"date-time":"2024-01-16T00:00:00Z","timestamp":1705363200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,7,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n               <jats:p>The incidence of tuberculosis in developed countries has decreased over the years due to the use of effective tuberculosis drugs and improvements in socio-economic conditions. However, with the ease of global transport and increased travel to countries with high tuberculosis prevalence, the reduction in extrapulmonary tuberculosis cases has been less significant compared with the overall decrease in tuberculosis cases. Extrapulmonary tuberculosis can manifest in a variety of ways. Tuberculous dactylitis, a rare form of tuberculous osteomyelitis, was first described by Rankin in 1886. It mainly affects the short tubular bones in the hands and feet of children and is sometimes called \u2018spina ventosa\u2019. A 42-year-old male patient initially presented to an external centre reporting swelling and pain in the hand joints of one year\u2019s duration. Despite one year of treatment with leflunomide and methylprednisolone (16\u2009mg) and a history of methotrexate use during this period, he experienced no improvement. The patient\u2019s condition worsened after the start of sulfasalazine. Dermatological examination was performed due to the presence of haemorrhagic crusted papules and plaques on the ventral surface of both hands. A wound culture was taken, but no bacterial growth was observed. One week after the initial evaluation, the patient complained of persistent foul-smelling nasal discharge, which led to an evaluation by the infectious disease department. At this time, the Quantiferon test was positive. Mycobacterial culture on Days 1 and 3 showed growth of the Mycobacterium tuberculosis complex.<\/jats:p>","DOI":"10.1093\/mrcr\/rxae003","type":"journal-article","created":{"date-parts":[[2024,1,16]],"date-time":"2024-01-16T10:52:52Z","timestamp":1705402372000},"page":"365-367","source":"Crossref","is-referenced-by-count":2,"title":["Bilateral hand dactylitis: An unusual presentation of the great imitator: Tuberculosis"],"prefix":"10.1093","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9226-7532","authenticated-orcid":false,"given":"Dilara","family":"Bulut G\u00f6kten","sequence":"first","affiliation":[{"name":"Department of Rheumatology, Tekirdag Namik Kemal University , Tek\u0131rdag, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6723-4328","authenticated-orcid":false,"given":"Fatma","family":"Y\u00fcm\u00fcn Kavak","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Tekirdag Namik Kemal University , Tek\u0131rdag 59059, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1537-2192","authenticated-orcid":false,"given":"R\u0131dvan","family":"Mercan","sequence":"additional","affiliation":[{"name":"Department of Rheumatology, Tekirdag Namik Kemal University , Tek\u0131rdag, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,1,16]]},"reference":[{"key":"2024070814405819600_R1","doi-asserted-by":"crossref","first-page":"1303","DOI":"10.1007\/s10096-011-1239-5","article-title":"Tuberculous dactylitis\u2014an easily missed diagnosis","volume":"30","author":"Ritz","year":"2011","journal-title":"Eur J Clin Microbiol Infect Dis"},{"key":"2024070814405819600_R2","first-page":"424","article-title":"Osteoarticular tuberculosis","volume":"51","author":"Bodur","year":"2003","journal-title":"Tuberk Toraks"},{"key":"2024070814405819600_R3","doi-asserted-by":"crossref","first-page":"124","DOI":"10.5578\/mb.20229911","article-title":"A case of intra-abdominal tuberculosis due to mycobacterium bovis mimicking ovarian cancer: importance of microbiological diagnosis","volume":"56","author":"Ta\u015fk\u0131n Dalg\u0131\u00e7","year":"2022","journal-title":"Mikrobiyol Bul"},{"key":"2024070814405819600_R4","first-page":"84","article-title":"Tuberculous osteitis of the tarsal bones: a case report","volume":"37","author":"Kotevo\u011flu","year":"2003","journal-title":"Acta Orthop Traumatol Turc"},{"key":"2024070814405819600_R5","first-page":"220","article-title":"Infraorbitally located tuberculous lypmhadenitis: a case report","volume":"19","author":"Hardal","year":"2009","journal-title":"Kulak Burun Bogaz Ihtis Derg"},{"key":"2024070814405819600_R6","first-page":"22","article-title":"Tuberculous dactylitis: case presentation and functional outcome","volume":"6","author":"Fairag","year":"2016","journal-title":"J Orthop Case Rep"},{"key":"2024070814405819600_R7","doi-asserted-by":"crossref","first-page":"333","DOI":"10.1080\/03009740600906677","article-title":"Dactylitis, a term for different digit diseases","volume":"35","author":"Olivieri","year":"2006","journal-title":"Scand J Rheumatol"},{"key":"2024070814405819600_R8","first-page":"72","article-title":"Tuberculous dactylitis in adult - a case report and review of literature","volume":"10","author":"Yadav","year":"2020","journal-title":"J Orthop Case Rep"},{"key":"2024070814405819600_R9","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1007\/s11751-010-0080-1","article-title":"Tuberculous dactylitis pseudotumor of an adult thumb: a case report","volume":"5","author":"Hassan","year":"2010","journal-title":"Strateg Trauma Limb Reconstr"},{"key":"2024070814405819600_R10","doi-asserted-by":"crossref","first-page":"851","DOI":"10.1001\/archpedi.1997.02170450101018","article-title":"Picture of the month. Tuberculous dactylitis","volume":"151","author":"Salimpour","year":"1997","journal-title":"Arch Pediatr Adolesc Med"},{"key":"2024070814405819600_R11","first-page":"8","article-title":"Outcome of neglected versus treated tuberculous dactylitis in the same patient - a case report","volume":"11","author":"Mansour","year":"2021","journal-title":"J Orthop Case Rep"},{"key":"2024070814405819600_R12","first-page":"1042","article-title":"Tuberculous pyomyositis of the thigh masquerading as malignancy with concomitant tuberculous flexor tenosynovitis and dactylitis of the hand","volume":"48","author":"Batra","year":"2007","journal-title":"Singapore Med J"}],"container-title":["Modern Rheumatology Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/mrcr\/advance-article-pdf\/doi\/10.1093\/mrcr\/rxae003\/56532310\/rxae003.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/mrcr\/article-pdf\/8\/2\/365\/58470444\/rxae003.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/mrcr\/article-pdf\/8\/2\/365\/58470444\/rxae003.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,8]],"date-time":"2024-07-08T14:43:02Z","timestamp":1720449782000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/mrcr\/article\/8\/2\/365\/7558337"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,16]]},"references-count":12,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2024,1,16]]},"published-print":{"date-parts":[[2024,7,8]]}},"URL":"https:\/\/doi.org\/10.1093\/mrcr\/rxae003","relation":{},"ISSN":["2472-5625"],"issn-type":[{"value":"2472-5625","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2024,7]]},"published":{"date-parts":[[2024,1,16]]}}}