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Ralph Salimpour, MD; Pejman Salimpour, MD

Arch Pediatr Adolesc Med. 1997;151(8):851-852.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

TWO CHILDREN, both 2 years of age, were seen with indolent swelling of the fingers (Figure 1 and Figure 2). Neither child had signs or symptoms of systemic illness. The fingers were minimally tender to palpation. Figure 3 is a radiograph of the right and left hands of the child in Figure 1.

Denouement and Discussion

Tuberculous Dactylitis

Tuberculosis the skeleton constitutes 10% to 15% of all extrapulmonary tuberculosis. Approximately 50% of the patients who have musculoskeletal tuberculosis have no pulmonary involvement.¹ Tuberculous dactylitis is the most common form of skeletal tuberculosis in infants.² Eightyfive percent of the patients with tuberculous dactylitis are younger than 6 years and 70% are younger than 2 years.³ The incidence of tuberculous dactylitis among children with tuberculosis has been reported to be in the range of 0.65% to 6.9%.^4,5 The bones of the hands are more frequently affected than those . . . [Full Text PDF of this Article]

Author Affiliations
From the Department of Pediatrics, University of California, Los Angeles, School of Medicine, Cedar Sinai Medical Center.

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