Tubercular rheumatism - Poncet's disease

Poncet's disease is a rare form of tuberculosis (TB). It is described as a hypersensitivity reaction of extra-articular TB, which manifests as acute-onset non-destructive polyarthritis of large joints. It resolves completely on anti-tubercular therapy. We describe a case of a young female patie...

Full description

Bibliographic Details
Main Authors: Abhinav Kumar, Ashish Kumar Singh, Priya Bansal, Rohit Bansal
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2021-01-01
Series:Medical Journal of Dr. D.Y. Patil Vidyapeeth
Subjects:
Online Access:http://www.mjdrdypv.org/article.asp?issn=2589-8302;year=2021;volume=14;issue=1;spage=97;epage=99;aulast=Kumar
_version_ 1818416616994504704
author Abhinav Kumar
Ashish Kumar Singh
Priya Bansal
Rohit Bansal
author_facet Abhinav Kumar
Ashish Kumar Singh
Priya Bansal
Rohit Bansal
author_sort Abhinav Kumar
collection DOAJ
description Poncet's disease is a rare form of tuberculosis (TB). It is described as a hypersensitivity reaction of extra-articular TB, which manifests as acute-onset non-destructive polyarthritis of large joints. It resolves completely on anti-tubercular therapy. We describe a case of a young female patient who presented with symmetrical polyarthritis on a background of tubercular lymphadenitis. The workup for rheumatological diseases was negative. A diagnosis of Poncet's disease or tubercular rheumatism was made by exclusion. There was complete resolution of symptoms of joint disease following anti-tubercular therapy. Poncet's disease should be kept under suspicion in TB endemic areas while investigating patients of arthritis. In a resource-limited setting, in patients with TB, the response of coincident inflammatory arthritis to anti-tubercular therapy may be first observed, before subjecting them to further investigations and/or empirical therapy.
first_indexed 2024-12-14T11:53:44Z
format Article
id doaj.art-834a805d254b4414a26a040e6004aac4
institution Directory Open Access Journal
issn 2589-8302
2589-8310
language English
last_indexed 2024-12-14T11:53:44Z
publishDate 2021-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Medical Journal of Dr. D.Y. Patil Vidyapeeth
spelling doaj.art-834a805d254b4414a26a040e6004aac42022-12-21T23:02:13ZengWolters Kluwer Medknow PublicationsMedical Journal of Dr. D.Y. Patil Vidyapeeth2589-83022589-83102021-01-01141979910.4103/mjdrdypu.mjdrdypu_313_19Tubercular rheumatism - Poncet's diseaseAbhinav KumarAshish Kumar SinghPriya BansalRohit BansalPoncet's disease is a rare form of tuberculosis (TB). It is described as a hypersensitivity reaction of extra-articular TB, which manifests as acute-onset non-destructive polyarthritis of large joints. It resolves completely on anti-tubercular therapy. We describe a case of a young female patient who presented with symmetrical polyarthritis on a background of tubercular lymphadenitis. The workup for rheumatological diseases was negative. A diagnosis of Poncet's disease or tubercular rheumatism was made by exclusion. There was complete resolution of symptoms of joint disease following anti-tubercular therapy. Poncet's disease should be kept under suspicion in TB endemic areas while investigating patients of arthritis. In a resource-limited setting, in patients with TB, the response of coincident inflammatory arthritis to anti-tubercular therapy may be first observed, before subjecting them to further investigations and/or empirical therapy.http://www.mjdrdypv.org/article.asp?issn=2589-8302;year=2021;volume=14;issue=1;spage=97;epage=99;aulast=Kumarpolyarthritisponcet diseasetuberculosistubercular rheumatism
spellingShingle Abhinav Kumar
Ashish Kumar Singh
Priya Bansal
Rohit Bansal
Tubercular rheumatism - Poncet's disease
Medical Journal of Dr. D.Y. Patil Vidyapeeth
polyarthritis
poncet disease
tuberculosis
tubercular rheumatism
title Tubercular rheumatism - Poncet's disease
title_full Tubercular rheumatism - Poncet's disease
title_fullStr Tubercular rheumatism - Poncet's disease
title_full_unstemmed Tubercular rheumatism - Poncet's disease
title_short Tubercular rheumatism - Poncet's disease
title_sort tubercular rheumatism poncet s disease
topic polyarthritis
poncet disease
tuberculosis
tubercular rheumatism
url http://www.mjdrdypv.org/article.asp?issn=2589-8302;year=2021;volume=14;issue=1;spage=97;epage=99;aulast=Kumar
work_keys_str_mv AT abhinavkumar tubercularrheumatismponcetsdisease
AT ashishkumarsingh tubercularrheumatismponcetsdisease
AT priyabansal tubercularrheumatismponcetsdisease
AT rohitbansal tubercularrheumatismponcetsdisease