Poncet disease, tuberculosis-arthritis: a case report in upper Egypt and a review of the literature

Fehr, Amal; El-Nouby, Fatma H.; Tony, Abeer A; Abdelkareem, Yasser; Bogdady, Shazly

doi:10.4103/1110-161x.200834

Cited by 7 publications

(3 citation statements)

References 8 publications

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“…Equally important is careful exclusion of differential diagnosis such as other causes of arthritis of viral, bacterial, arthropod-borne etiology, reactive arthritis, gout and chronic arthritis. 33 In absence of conclusive diagnosis, presence of surrogate findings such as reactive immunologic reactions, arthritis and erythema nodosum, may be suspected for tubercular infection as respiratory symptoms may be absent at presentation or may follow later. 34 In a case, presence of erythema nodosum and polyarthritis with mediastinal widening due to lymphadenopathy on CT was later diagnosed as PD.…”

Section: Recent Updates In Diagnosismentioning

confidence: 99%

Poncet′s disease (tubercular rheumatism): a narrative review

Dharmshaktu

2020

Clin Trials Orthop Disord

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Poncet's disease or tubercular rheumatism is uncommon, and there are not many related studies. No consensus has been achieved with respect to its etiopathogenesis. The low prevalence of this Poncet's disease even in endemic regions suggests hidden mechanisms that require further research to fully comprehend this enigmatic disorder. Careful identification of primary focus of tubercular infection, clinical suspicion and knowledge of this disorder is crucial for prompt identification and treatment. This article aims to provide an overview of the recently published articles about Poncet's disease. The article attempts to highlight key features of the disease for better understanding of this peculiar disorder.

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Section: Recent Updates In Diagnosismentioning

confidence: 99%

Poncet′s disease (tubercular rheumatism): a narrative review

Dharmshaktu

2020

Clin Trials Orthop Disord

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“…6 It is a form of reactive arthritis that develops from an immune reaction to the tuberculous protein. 7,8 Treatment involves the use of antituberculous drugs with complete symptom resolution. 9 We report a case of a 45-year-old man with PD in association with acute tuberculosis of the lungs.…”

Section: Introductionmentioning

confidence: 99%

Poncet’s disease (tuberculous rheumatism) in a Nigerian male: a frequently overlooked diagnosis

et al. 2021

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Poncet’s disease is an uncommon syndrome and a reactive polyarthritis associated with active tuberculosis with no evidence of mycobacterial infection of the joint. The condition is different from tuberculous arthritis which is usually monoarticular and caused by direct tubercular involvement of the joint. There has been a paucity of case reports on Poncet’s disease in Nigeria despite the high incidence of tuberculosis. We report a case of a 45-year male who presented with inflammatory polyarthritis involving the knees, wrists, ankles, small joints of the hands bilaterally of four weeks duration. This was preceded by three week’s history of productive cough. Chest radiograph and sputum Gene Xpert revealed features consistent with tuberculosis. Synovial fluid from knee joint effusion showed no evidence of mycobacterium tuberculosis. He was diagnosed to have Poncet’s disease based on the clinical findings and investigation results. He was commenced on antituberculous medications with complete resolution of symptoms after two months. Poncet’s disease is a rare manifestation of tuberculosis and should be considered a differential in any case of active tuberculosis presenting with arthritis. The correct and prompt identification of this condition by clinicians is important with the aim of instituting the appropriate therapy.

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“…Even when its existence has been questioned by many, cases have been continued to be reported over the years. Poncet's disease is characterized by articular affection in patients diagnosed with TB, not related to direct invasion by the micro-organism, but to an immune reaction to the tuberculous protein, constituting a reactive arthritis [1,2]. The condition is different from tuberculous arthritis which is usually monoarticular and is caused by direct tubercular involvement of the joint.…”

Section: Introductionmentioning

confidence: 99%

Poncet’s Disease - A Commonly Missed Diagnosis

Raina¹

2020

ACMCR

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Poncet disease, tuberculosis-arthritis: a case report in upper Egypt and a review of the literature

Cited by 7 publications

References 8 publications

Poncet′s disease (tubercular rheumatism): a narrative review

Poncet′s disease (tubercular rheumatism): a narrative review

Poncet’s disease (tuberculous rheumatism) in a Nigerian male: a frequently overlooked diagnosis

Poncet’s Disease - A Commonly Missed Diagnosis

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