A case of Poncet's disease (tuberculous rheumatism).
We describe a 37-year-old woman with recurrent polyarthritis, and recurrent erythema nodosum on the flexible side of her left forearm. On an X-ray of the chest, infiltration of the right upper lobe was observed. Transcription-reverse transcription concerted reaction in sputum samples revealed Mycobacterium tuberculosis (M. tuberculosis). Resolution of the polyarthritis with anti-tuberculosis (TB) drugs occurred in 3 days. We diagnosed her with Poncet's disease (PD). PD is considered to be a reactive arthritis, which is a different entity from tuberculous arthritis. Although PD is a rare disease, we should be aware of it as one of the differential diagnoses, even in patients without typical symptoms of TB.
Ideguchi
Haruko
H
Center for Rheumatic Diseases, Yokohama City University Medical Center, 4-57 Urafune-cho, Minami-ku, Yokohama, Kanagawa, 232-0024, Japan. ideguchi@cronos.ocn.ne.jp
Ohno
Shigeru
S
Takase
Kaoru
K
Tsukahara
Toshinori
T
Kaneko
Takeshi
T
Ishigatsubo
Yoshiaki
Y
D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D016918:Arthritis, Reactive / Q000175:diagnosis* / Q000188:drug therapy; D001172:Arthritis, Rheumatoid / Q000175:diagnosis; D044466:Asian People; D016572:Cyclosporine / Q000627:therapeutic use; D003937:Diagnosis, Differential; D004893:Erythema Nodosum / Q000175:diagnosis / Q000382:microbiology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D011239:Prednisolone / Q000627:therapeutic use; D011859:Radiography; D013997:Time Factors; D016896:Treatment Outcome; D014394:Tuberculosis, Osteoarticular / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000188:drug therapy
D000995:Antitubercular Agents; D016572:Cyclosporine; D011239:Prednisolone