Feza UĞURMAN, Ebru ATALAR, Şerife Nilgün KALAÇ, Behiye AKKALYONCU

Romatoid artritli hastada tüberküloza bağlı klaviküler osteomyelit

Klavikülanın tüberkülozu, iskelet sistemi tüberkülozu arasında bile oldukça nadir görülür. Kronik omuz ağrısı olan hastalarda akla getirilmesi önerilen patolojiler arasındadır. Hastalığın ortaya çıkmasında, bağışıklığı etkileyen predispozan etkenlerin önemli rolü vardır. Bizim hastamız altmış yaşında, son on yıldır romatoid artrit nedeniyle kortikosteroid tedavi alan kadın hastaydı. Dört aydır sağ sternoklaviküler eklem bölgesinde şişlik ve sağ omuz ağrısı mevcuttu. Görüntüleme yöntemleriyle önce malignite olduğu düşünülen lezyondan alınan biyopsi sonucu, klavikülada nekrotizan osteomyelit olarak rapor edildi.

Tuberculosis related clavicular osteomyelitis in a patient with rheumatoid arthritis

Tuberculosis of the clavicle is seen very rarely even among the skeletal system tuberculosis. It is among the pathologies that should be thought for patients with chronic shoulder aching. Predisposing affects that effects in the immunity important role in the emergence of the disease. Our patient is 60 years old woman who receives corticosteroid treatment due to rheumatoid arthritis for last ten years. For four months, she has swollen area in her right sternoclaviculer joint area and aching in her right shoulder. After the biopsy taken from the lesion, which was to thought to be malignant when it is seen with imaging methods, it was reported as necrotizing osteomyelitis in clavicle.

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