The rare reason behind this woman’s not-so-little finger

TB or not TB? That is the question

When this woman presented with a one-week history of pain and swelling in her left hand, doctors just couldn’t put their finger on the cause of her unusual oedema.

TB of the finger

The 42-year-old reported no trauma to the affected area and scans showed no bony abnormalities.

She had SLE and was being treated with immunosuppressive therapy — mycophenolate mofetil and prednisone — after undergoing a negative TB test.

The only clue came when she revealed that her husband had recently travelled to China and developed a cough not