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The literature and statistics on tuberculous dactilitis (TD) are scarce and most literature consists of isolated case reports. The aim of this case series is to examine trends and diagnostic difficulties faced by the clinicians in diagnosing this rare disorder. Google search engine and MEDLINE were searched for key words "tuberculous dactylitis" and "spina ventosa". From all published papers and unpublished reports, 58 cases were extracted and 61 cases, including the three presented by us in this review, were analyzed for a set of 16 parameters. There is re-emergence and increase in the incidence of this form of extra-pulmonary tuberculosis (EPTB) especially in the industrialized countries, which poses a diagnostic challenge to physicians in these countries, as they are not well versed with this entity.

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