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Case 10 Discussion

TB dactylitis. (43.230)

Also known as spina ventosa, this entity usually demonstrates multiple expansile lesions with soft tissue swelling, periostitis and bone destruction. Differential diagnosis includes sickle cell dactylitis, Ewings sarcoma, leukemia, syphilis, leprosy, fungal infection, scurvy, hypervitaminosis A, trauma and infantile cortical hyperostosis.

Resnick D.Diagnosis of Bone and Joint Disorders (3rd ed).pp.2141-2142.

Case 11

General Radiology Cases