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"Spina ventosa"--tuberculous dactylitis. (Images in Paediatrics).
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 cystic, expansile lesion of the distal portion of the proximal phalanx of the right ring finger. The margins were well defined and there were internal septations and associated cortical sclerosis. There was cortical destruction but no periosteal reaction. A large soft tissue mass …
