<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0872-0754</journal-id>
<journal-title><![CDATA[Nascer e Crescer]]></journal-title>
<abbrev-journal-title><![CDATA[Nascer e Crescer]]></abbrev-journal-title>
<issn>0872-0754</issn>
<publisher>
<publisher-name><![CDATA[Centro Hospitalar do Porto]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0872-07542021000300175</article-id>
<article-id pub-id-type="doi">10.25753/birthgrowthmj.v30.i3.20302</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Chronic tenosynovitis of the hand - an unusual presentation of tuberculosis in children]]></article-title>
<article-title xml:lang="pt"><![CDATA[Tenossinovite crónica da mão - uma apresentação incomum de tuberculose em idade pediátrica]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martins]]></surname>
<given-names><![CDATA[Miguel Vieira]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santos]]></surname>
<given-names><![CDATA[Constança]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Teixeira]]></surname>
<given-names><![CDATA[Ana Luísa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Costa]]></surname>
<given-names><![CDATA[Ricardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pon]]></surname>
<given-names><![CDATA[Jorge]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodrigues]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro Hospitalar Universitário Cova da Beira Department of Pediatrics ]]></institution>
<addr-line><![CDATA[Covilhã ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Centro Hospitalar Universitario Cova da Beira Department of Orthopedic Surgery ]]></institution>
<addr-line><![CDATA[Covilha ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>09</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>09</month>
<year>2021</year>
</pub-date>
<volume>30</volume>
<numero>3</numero>
<fpage>175</fpage>
<lpage>178</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S0872-07542021000300175&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S0872-07542021000300175&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S0872-07542021000300175&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Tuberculosis remains the most common cause of death from infectious diseases worldwide. Extrapulmonary tuberculosis with musculoskeletal involvement occurs in about 10-15% of cases, mainly affecting joints and bones. Of these, only 1-5% are reported as synovitis of the hand. However, prompt diagnosis and treatment are often delayed and, if left untreated, bone and tendon destruction soon ensue and may lead to chronic synovitis. A 15-year-old girl presented with recurrent pain of the hand following trauma. Imaging showed tenosynovitis and tendon rupture. Surgical treatment was performed. Pathological assessment revealed necrotic caseous granulomas. Chest radiography showed no abnormal findings, but both Tuberculin Skin Test and Interferon Gamma-Release Assay were positive. Tuberculous tenosynovitis was diagnosed, and 12-month anti-tuberculous chemotherapy was instated. Five years after surgery, the patient maintained chronic pain and functional hand limitation. Tuberculous tenosynovitis of the hand is a rare and insidious condition that should be considered in the differential diagnosis of chronic hand pain. Delayed diagnosis and treatment can lead to residual functional limitation, making disease recognition critical.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo A tuberculose é a principal causa de morte por doença infeciosa globalmente. Em 10-15% dos casos ocorrem manifestações extrapulmonares músculo-esqueléticas, que afetam preferencialmente articulações e ossos. Destas, apenas 1-5% se manifestam como sinovite dos tendões flexores das mãos. O diagnóstico e início de tratamento tardios são frequentes e podem conduzir a sinovite crónica. Uma adolescente de 15 anos apresentou dor recorrente na mão na sequência de traumatismo. Exames radiológicos revelaram tenossinovite e rotura tendinosa. A adolescente foi submetida a tratamento cirúrgico, evidenciando granulomas necróticos caseosos no exame anatomopatológico. Não foram detetadas alterações na radiografia torácica, mas ambos os testes de mantoux e IGRA foram positivos. Foi estabelecido o diagnóstico de tenossinovite tuberculosa e cumprido tratamento durante 12 meses. No entanto, cinco anos após a cirurgia a adolescente mantinha dor crónica e limitação funcional da mão. A tenossinovite tuberculosa da mão é uma doença rara e insidiosa, devendo ser considerada no diagnóstico diferencial de dor crónica da mão. Um diagnóstico e início de tratamento tardios podem levar a dor crónica e limitação funcional do membro, pelo que o reconhecimento da doença é fundamental.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[chronic hand pain]]></kwd>
<kwd lng="en"><![CDATA[tenosynovitis]]></kwd>
<kwd lng="en"><![CDATA[tuberculosis]]></kwd>
<kwd lng="pt"><![CDATA[dor crónica da mão]]></kwd>
<kwd lng="pt"><![CDATA[tenossinovite]]></kwd>
<kwd lng="pt"><![CDATA[tuberculose]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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