- 著者
-
Takashi Shimizu
Shosuke Akita
Yoshinori Harada
Eri Oguro
Yasutaka Okita
Minoru Shigesaka
Hidetoshi Matsuoka
Takuro Nii
Satoru Teshigawara
Eriko Kudo-Tanaka
Soichiro Tsuji
Masato Matsushita
Shiro Ohshima
Yoshihiko Hoshida
Jun Hashimoto
Yukihiko Saeki
- 出版者
- 一般社団法人 日本内科学会
- 雑誌
- Internal Medicine (ISSN:09182918)
- 巻号頁・発行日
- vol.56, no.10, pp.1243-1246, 2017-05-15 (Released:2017-05-15)
- 参考文献数
- 21
- 被引用文献数
-
6
A 72-year-old man presented with persistent oligoarthritis and positive results for rheumatoid factor and was suspected of having rheumatoid arthritis (RA). However, the musculoskeletal ultrasonography (MSUS) findings were not consistent with those of typical RA. He had undergone surgery for carpal tunnel syndrome, which allowed both histopathological and microbiological examinations to be performed. A synovial tissue culture was positive for Sporothrix schenckii, and he was diagnosed with sporotrichal tenosynovitis. He received anti-fungal therapy, and the sporotrichal tenosynovitis resolved. This case suggests that MSUS is a useful modality, and sporotrichal tenosynovitis, though rare, should be considered in the differential diagnosis of RA.