以手部为首发症状 ,双手呈泛发性囊性骨结核在临床上极其罕见 ,我们曾收治一例本病患者 ,曾被多位医师误诊 ,现报道如下。1　病例报告患者 ,男 ,40岁。发现右手示指、小指掌指关节水平慢性肿块 6个月 ,右肘关节外侧肿块 1个月 ,既往曾有肛周脓肿切开引流病史 ,至今创面未愈合。 To the hand as the first symptom, his hands were pancystic bone tuberculosis in clinical extremely rare, we have admitted a patient with this disease, has been misdiagnosed by many physicians, are reported below. 1 case report patients, male, 40 years old. Found that the right index finger, the little finger metacarpophalangeal joint level of chronic mass 6 months, 1 month outside the right elbow mass, there was a history of perianal abscess incision and drainage history, the wound has not healed.