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A case of Poncet’s disease (tuberculous rheumatism)

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Abstract

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.

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Acknowledgments

The authors are greatly indebted to Mr. Tom Kiper (Yokosuka, Japan) for his review and invaluable suggestions in preparing the manuscript.

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Authors and Affiliations

  1. Center for Rheumatic Diseases, Yokohama City University Medical Center, 4-57 Urafune-cho, Minami-ku, Yokohama, Kanagawa, 232-0024, Japan

    Haruko Ideguchi, Shigeru Ohno & Kaoru Takase

  2. Respiratory Disease Center, Yokohama City University Medical Center, Yokohama, Japan

    Toshinori Tsukahara & Takeshi Kaneko

  3. Department of Internal Medicine and Clinical Immunology, Yokohama City University Graduate School of Medicine, Yokohama, Japan

    Yoshiaki Ishigatsubo

Authors
  1. Haruko Ideguchi
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  2. Shigeru Ohno
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  3. Kaoru Takase
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  4. Toshinori Tsukahara
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  5. Takeshi Kaneko
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  6. Yoshiaki Ishigatsubo
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Corresponding author

Correspondence to Haruko Ideguchi.

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Ideguchi, H., Ohno, S., Takase, K. et al. A case of Poncet’s disease (tuberculous rheumatism). Rheumatol Int 29, 1097–1099 (2009). https://doi.org/10.1007/s00296-008-0795-1

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  • DOI: https://doi.org/10.1007/s00296-008-0795-1

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