Abstract
Tuberculosis (TB) continues to be a major health burden in developing countries. It can be pulmonary or extrapulmonary, but involvement of tendon sheaths is extremely uncommon. Due to nonspecific clinical features and wide differentials, diagnosis is often delayed. Here, we report one such rare case, where a male patient presented with multiple, painless swellings over the wrist and hand and posed a diagnostic challenge on radiological investigations (ultrasonography and magnetic resonance imaging). The final diagnosis of TB tenosynovitis was confirmed only on histopathological examination. Tubercular tenosynovitis of hand is a rare entity, which mimics a variety of clinical conditions, often leading to delay in diagnosis and appropriate timely treatment. Thorough clinico-radiological and pathological examinations are thus necessary to diagnose this condition.
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