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Case Reports
February 1942


Author Affiliations

From the departments of pediatrics of the Cumberland and the Swedish Hospital.

Am J Dis Child. 1942;63(2):346-353. doi:10.1001/archpedi.1942.02010020131008

Cystic tuberculosis of bone is an uncommon form of osseous tuberculosis which rarely occurs in children. Heretofore only 14 such cases have been reported.

Jüngling1 in 1920 first reported on this disease and termed it osteitis tuberculosa multiplex cystica. Reviewing the subject in 1928, he found 55 cases, including 9 of his own. All of the patients were adults. These collected cases had the following characteristics: (1) The onset was gradual; (2) pain began early but was not severe; (3) the onset occurred during puberty or thereafter; (4) the small long bones of the hands and feet were most often affected; (5) there was a tendency to formation of large cysts without surrounding sclerosis; (6) there was no involvement of the periosteum or the joints; (7) the tuberculin test usually gave negative results; (8) tubercle bacilli were not found by stains, cultures or guinea pig inoculation; (9) microscopic