PMC9201408_01
Left elbow joint appeared swollen, discharge was exuding from the perforated skin (photo after surgery).
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Upon physical examination, the left elbow joint appeared swollen and discharge was exuding from the perforated skin, as depicted in Figure 1.
Radiological examination by posteroanterior chest X-ray did not show any abnormality.
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Radiological examination by posteroanterior (PA) chest X-ray did not show any abnormality ( Figure 2), anteroposterior (AP) and lateral projection of the left elbow joint radiographs showed erosion of the distal cortex of the humerus and radial bone, destruction of the distal cortex, and swelling of the soft tissue of the left elbow area ( Figure 3).
Anteroposterior and lateral projection of the left elbow joint radiographs showed erosion of the distal cortex of the humerus and radial bone, destruction of the distal cortex, and swelling of the soft tissue of the left elbow area (February 2021).
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Radiological examination by posteroanterior (PA) chest X-ray did not show any abnormality ( Figure 2), anteroposterior (AP) and lateral projection of the left elbow joint radiographs showed erosion of the distal cortex of the humerus and radial bone, destruction of the distal cortex, and swelling of the soft tissue of the left elbow area ( Figure 3).
Granulomatous inflammation, swollen connective tissues containing epithelioid tubercle nests with necrotization, and datia Langhans cells.
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Histopathological examination showed granulomatous inflammation, swollen connective tissues containing epithelioid tubercle nests with necrotization, and datia Langhans cells ( Figure 4).
Minimal improvement, AP and lateral projection of the left elbow joint radiographs showed erosion of the distal cortex of the humerus and radial bone, destruction of the distal cortex, and swelling of the soft tissue of the left elbow area (March 2021).
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Left elbow joint radiographs showed minimal improvement ( Figure 5).
Computed tomography scan shows destruction of the lateral epicondylus of the humeral bone and the processus olecranon of ulna bones (red arrows = humerus bones, green arrows = ulna bones).. Picture was edited with photoshop CS4 version 11.0 to remove specific details of dates of patient care and patient's identity.
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Computed tomography (CT) scan results showed destruction of the lateral epicondylus of the humeral bone and the processus olecranon of ulna bones, after two months of the treatment ( Figure 6).