TUBERCULOUS DACTYLITIS IN THE ADULT

¹ NIH Diagnostic Training Fellow.
² Associate Professor of Pathology.

Tuberculous dactylitis, although most frequently encountered in children, also occurs in adults in whom its roentgen manifestations have not been sufficiently emphasized. The evolution of the disease is often subtle with far advanced changes present in some cases when first seen.

Tuberculosis of bones and joints, although decreasing in incidence, is still the most common granulomatous bacterial arthritis, with a peak incidence occurring in an older age group than is ordinarily assumed and with lesions occurring in "unusual" locations.

An analysis of our experience with 23 cases of adult tuberculosis distal to the tarsus and wrist is presented with a brief review of the literature and an emphasis on heretofore infrequently stressed roentgen changes.

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