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      Mycobacterial avium intracellulare (MAI) extensor tenosynovitis of wrist: An uncommon entity

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          Abstract

          Rice bodies secondary to synovial inflammation, typically occur in the shoulders and knees of individuals affected by either rheumatoid arthritis or tuberculosis. It is uncommon to encounter these in nontubercular mycobacterial tenosynovitis especially in wrist extensor compartment. Understanding this condition and its distinctive imaging features is crucial for both treating clinicians and radiologists. In this case study, we present the imaging findings of a rare occurrence of tenosynovitis of the fourth extensor compartment in the wrist with the formation of rice bodies due to Mycobacterium avium intracellulare. We have chosen to document this case to emphasize its importance in considering the differential diagnosis of extensor tenosynovitis with rice bodies.

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          Most cited references16

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          Epidemiology of infection by nontuberculous mycobacteria.

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            Dialysis-related amyloidosis revisited.

            Dialysis-related amyloidosis occurs secondarily to the deposition of beta(2)-microglobulin. Dialysis-related amyloidosis predominantly involves the osteoarticular system and is clinically manifested by erosive and destructive osteoarthropathies, destructive spondyloarthropathy, and carpal tunnel syndrome. This article illustrates the radiographic, sonographic, CT, and MRI findings of dialysis-related amyloid arthropathies. Dialysis-related amyloidosis is characterized by various imaging appearances. In evaluating amyloidosis, MRI provides considerably more information than that obtained from conventional radiographic, CT, and sonographic studies.
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              Rice-body formation in atypical mycobacterial tenosynovitis and bursitis: findings on sonography and MR imaging.

              This article describes rice bodies found in patients with atypical mycobacterial tenosynovitis and bursitis, emphasizing the sonographic and MR imaging appearances of these small bodies. Rice bodies occur in patients with atypical mycobacterial tenosynovitis and bursitis. When small, rice bodies are better visualized on MR imaging than on sonography, allowing the radiologist to consider appropriate diagnoses.

                Author and article information

                Contributors
                Journal
                Radiol Case Rep
                Radiol Case Rep
                Radiology Case Reports
                Elsevier
                1930-0433
                27 November 2024
                February 2025
                27 November 2024
                : 20
                : 2
                : 1064-1068
                Affiliations
                [0001]Department of Medical Imaging,St. Joseph's Health Care London, 268 Grosvenor St, London, Ontario, Canada, N6A 4V2
                Author notes
                [* ]Corresponding author. Vishal.Kalia@ 123456sjhc.london.on.ca
                Article
                S1930-0433(24)01272-X
                10.1016/j.radcr.2024.11.004
                11629476
                39659693
                98293188-2100-4aab-8b03-11014d77bafc
                © 2024 The Authors. Published by Elsevier Inc. on behalf of University of Washington.

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                : 14 September 2024
                : 30 October 2024
                : 5 November 2024
                Categories
                Case Report

                nontubercular tenosynovitis,extensor tenosynovitis wrist,mri,rice bodies,mycobacterium avium intracellulare

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