CHRONIC NONSPECIFIC TENOSYNOVITIS OF FLEXOR TENDON SHEATH (WITH RICE BODIES) IN THE HAND- TEN YEARS FOLLOW UP.

Rice bodies are fibrous bodies resembling grains of rice. They are associated with many inflammatory conditions like rheumatoid arthritis, tuberculosis, juvenile arthritides, seronegative arthritis, osteoarthritis, septic joints and chronic bursitis. Rice bodies are seen in pleural fluid, in the setting of bursitis and within the tendon sheath. We describe a rare case of Rice body tenosynovitis of flexor tendon sheath of a finger in a hand that showed no evidence of any infection or rheumatic disease after repetitive diagnostic procedures. Case presentation: We report a case of forty-nine-year-old fisherman presenting with progressive, painless sausage shaped swelling of right hand middle finger for two years. Discussion: Rice bodies are formed in inflammatory joint diseases and mostly with tuberculous etiology but rarely found in non-tuberculous patient. This a case of Rice body formation associated with chronic Nonspecific tenosynovitis of middle finger right hand. Conclusion: Rice bodies in the distal palm to digital flexor tendon sheath of Right-hand middle finger with no specific etiology are extremely rare clinical Presentation. MRI, radiography and histopathology were useful in arriving at a Diagnosis. Over the period of 10 years, only one flexor tendon sheath of right hand middle finger was affected, without any other disability. Since his occupationis fishing, may be bite of the fish may be a reason. This chronic inflammation of the middle finger tendon sheath of the flexor tendon was confined only to that finger over the past 10 years. Now after complete excision of the sheath, he is free of this problem and is able to continue his profession without any difficulty.

A Case report of a Knee Tuberculosis- arthritis in a mid aged lady in India

Tuberculosis (TB) is a common disease in developing countries but now days the incidence decreased due to the community use of BCG vaccine after birth. A 55 years old female contacted through tele-medicine with history of Right knee pain for last 3 months. CT and MRI of Right knee is referred. The CT and MRI suggested the Knee Tuberculosis(Rice body Appearance) so the patient is referred to the near by internal Orthopedic department for anti tuberculosis treatment.

Tuberculous Arthritis of the Knee with Rice Body Formation: A Report of a Rare Case

In this report, we present the case of a 53-year-old man with rice body formation in the right knee caused by tuberculous arthritis (TB arthritis). The patient visited our hospital in January 2018 with a seven-month history of swelling and pain in the right knee. He had no previous history of tuberculosis, and the results of the routine laboratory tests were within normal limits; he also tested negative for rheumatoid factor. Magnetic resonance (MR) imaging revealed multiple rice bodies in the right knee, measuring 5-8 mm. He underwent an arthroscopic operation in the right knee in January 2018 and received antituberculosis polytherapy for 6 months. He was followed-up for more than 01 year. The patient regained good function of the operated knee with no evidence of recurrence during the last follow-up in February 2019. Conclusion. The biggest challenge in diagnosing tuberculosis arthritis is the consideration of its possibility in the differential diagnosis, not only in endemic countries where tuberculosis is frequent. A high level of suspicion for TB should be maintained for every infection of the knee joint, particularly in the case of intra-articular rice bodies.