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Differential diagnosis

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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As tuberculosis is rare in the developed world, diagnosis of tuberculous arthritis is often made late.

It is mainly to be distinguished from rheumatoid arthritis, principally, on the basis of:

  • synovial thickening
  • muscle wasting
  • periarticular osteoporosis
  • a long history and the involvement of a single joint, most often in the spine.
  • positive Mantoux test

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