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http://dx.doi.org/10.4046/trd.2011.71.3.221

A Case of Poncet's Disease in a Patient with Pulmonary Tuberculosis Accompanying Erythema Nodosum  

Han, Na (Department of Internal Medicine, Good Samaritan Hospital)
Lee, Su-Kyeong (Department of Internal Medicine, Good Samaritan Hospital)
Kim, Tae-Jin (Department of Internal Medicine, Good Samaritan Hospital)
Song, Yun-Seok (Department of Internal Medicine, Good Samaritan Hospital)
Jung, Sun-Ho (Department of Internal Medicine, Good Samaritan Hospital)
Yang, Kyung-Ho (Department of Internal Medicine, Good Samaritan Hospital)
Choi, Sung-Jin (Department of Internal Medicine, Good Samaritan Hospital)
Shin, Won-Hyuk (Department of Internal Medicine, Good Samaritan Hospital)
Publication Information
Tuberculosis and Respiratory Diseases / v.71, no.3, 2011 , pp. 221-224 More about this Journal
Abstract
Poncet's disease is an aseptic polyarthritis developing in the presence of active Tuberculosis occurring elsewhere, and is not due to direct involvement of joints but to an immunological reaction to tuberculoprotein. We experienced a case of Poncet's disease accompanying erythema nodosum in a 55-year-old female patient with pulmonary tuberculosis. She had multiple tender erythematous nodules on both lower limbs for 3 months and a cough and sputum from one month ago. She felt severe pain in both knees and ankles with swelling one week before admission. Her chest X-ray, computed tomography (CT) scan and positive sputum AFB stain results revealed that she had active pulmonary tuberculosis accompanying erythema nodosum and aseptic polyarthritis. Her arthritis and erythema nodosum were dramatically improved within four weeks after anti-tuberculosis therapy. We report a case of Poncet's disease in pulmonary tuberculosis accompanying erythema nodosum.
Keywords
Tuberculosis, Pulmonary; Arthritis, Reactive; Erythema Nodosum;
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1 Hameed K, Karim M, Islam N, Gibson T. The diagnosis of Poncet's disease. Br J Rheumatol 1993;32:824-6.   DOI
2 Malaviya AN, Kotwal PP. Arthritis associated with tuberculosis. Best Pract Res Clin Rheumatol 2003;17:319- 43.   DOI
3 Sanjay R, Dhingra VK, Chopra KK, Jain SK. Poncet's disease-a unique presentation, Ind J Tub 1999;46: 133-5.
4 Lee HL, Lee IH, Son BK, Jung JH, Kim TH, Yang SC, et al. A case of Poncet's disease with tuberculosis of the intestine and lymph nodes. Korean J Med 2001;61: 211-4.
5 Breedveld FC, Trentham DE. Progress in the understanding of inducible models of chronic arthritis. Rheum Dis Clin North Am 1987;13:531-44.
6 Park SS, Yun CY, Kang EH, Lee EY, Lee YJ, Lee EB, et al. A case of Poncet's disease in a patient with pulmonary tuberculosis. J Korean Rheum Assoc 2010;17: 183-7.   DOI   ScienceOn
7 Park H, Park CW, Kim KB, Lee MJ, Zeon SJ, Shim SC, et al. A case of peritoneal tuberculosis with Poncet's disease in a patient treated with infliximab. J Rheum Dis 2011;18:55-9.   DOI
8 Kroot EJ, Hazes JM, Colin EM, Dolhain RJ. Poncet's disease: reactive arthritis accompanying tuberculosis. Two case reports and a review of the literature. Rheumatology (Oxford) 2007;46:484-9.   DOI   ScienceOn
9 Maricic MJ, Alepa FP. Reactive arthritis after Mycobacterium avium-intracellulare infection: Poncet's disease revisited. Am J Med 1990;88:549-50.   DOI   ScienceOn
10 Hughes RA, Allard SA, Maini RN. Arthritis associated with adjuvant mycobacterial treatment for carcinoma of the bladder. Ann Rheum Dis 1989;48:432-4.   DOI   ScienceOn
11 Mert A, Ozaras R, Tabak F, Ozturk R. Primary tuberculosis cases presenting with erythema nodosum. J Dermatol 2004;31:66-8.   DOI
12 Southwood TR, Gaston JS. The molecular basis of Poncet's disease? Br J Rheumatol 1990;29:491.
13 Ames PR, Capasso G, Testa V, Maffulli N, Tortora M, Gaeta GB. Chronic tuberculous rheumatism (Poncet's disease) in a gymnast. Br J Rheumatol 1990;29:72-4.   DOI