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Images in paediatrics
“Spina ventosa”—tuberculous dactylitis
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A 9 year old male presented with a two year history of a painless mass overlying the fourth finger of the right hand. Of note was that he had been started on antituberculous treatment two weeks prior to presentation. A chest radiograph showed right upper lobe airspace disease with associated hilar adenopathy consistent with pulmonary tuberculosis (TB); a radiograph of the right hand (fig 1) showed a …