A Case of Poncet's Disease (Reactive Arthritis Associated with Tuberculosis)

An 82-year-old man with miliary tuberculosis was admitted to our hospital. Approximately six weeks after starting anti-tuberculosis treatment, he complained of pain in the fingers, wrists, and ankles. A histopathological examination of the synovial biopsy revealed nonspecific chronic inflammation wi...

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Published in:Internal Medicine 2022, pp.9241-21
Main Authors: Higashiguchi, Masayoshi, Matsumoto, Tomoshige, Kitamura, Takashi, Nakajima, Takako, Nishioka, Koji, Kimura, Hiromi, Yamamoto, Takafumi, Komuta, Kiyoshi
Format: Article
Language:English
Subjects:
Poncet's disease
reactive arthritis
tuberculosis
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container_title Internal Medicine
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creator Higashiguchi, Masayoshi
Matsumoto, Tomoshige
Kitamura, Takashi
Nakajima, Takako
Nishioka, Koji
Kimura, Hiromi
Yamamoto, Takafumi
Komuta, Kiyoshi
description An 82-year-old man with miliary tuberculosis was admitted to our hospital. Approximately six weeks after starting anti-tuberculosis treatment, he complained of pain in the fingers, wrists, and ankles. A histopathological examination of the synovial biopsy revealed nonspecific chronic inflammation with no granulomas. Culture of the biopsy specimen yielded no acid-fast bacilli. Poncet's disease was diagnosed based on the clinical presentation, with no findings suggestive of other diseases. His joint pain rapidly improved with steroid therapy. Tuberculosis can cause arthritis through immune-mediated mechanisms without direct invasion in an entity known as Poncet's disease.
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subjects Poncet's disease
reactive arthritis
tuberculosis
title A Case of Poncet's Disease (Reactive Arthritis Associated with Tuberculosis)
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