Articular flare-up of systemic scleroderma revealing a rare form of tuberculosis of the shoulder and extensor tendons: a case report and literature review
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Key Points
Tuberculous bursitis and tenosynovitis were diagnosed in a 61-year-old patient with scleroderma and lung complications.
The diagnosis was confirmed through ultrasound-guided aspiration, revealing Mycobacterium tuberculosis identified by multiple methods.
Histological analysis indicated the presence of epithelioid granulomas with caseous necrosis, underscoring the tuberculous nature of the disease.
This case highlights the need for awareness of rare extrapulmonary manifestations of tuberculosis in patients with systemic autoimmune diseases.
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Implication
This case report reveals tuberculous bursitis and tenosynovitis in a patient with scleroderma, implying a rare association with autoimmune diseases.