Abstract
Since 1897 when Poncet first described polyarthritis in the acute stage of extra-articular tuberculosis, Poncet's disease has been considered a reactive arthritis to Mycobacterium tuberculosis. It is characterized by polyarthritis without evidence of direct mycobacterial involvement in patients with active tuberculosis, and eventually resolves without residual joint damage. Even though Poncet's disease is uncommon, the distinction between Poncet's disease and other arthritis, including tuberculous arthritis is clinically important. We report the second case of Poncet's disease diagnosed in a patient with pulmonary tuberculosis in Korea and review the relevant literature.
REFERENCES
1). Dall L., Long L., Stanford J. Poncet's disease: tuberculous rheumatism. Rev Infect Dis. 1989. 11:105–7.
2). 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.
3). 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.
4). Maricic MJ., Alepa FP. Reactive arthritis after Mycobacterium avium-intracellulare infection: Poncet's disease revisited. Am J Med. 1990. 88:549–50.
5). Hughes RA., Allard SA., Maini RN. Arthritis associated with adjuvant mycobacterial treatment for carcinoma of the bladder. Ann Rheum Dis. 1989. 48:432–4.
7). Kawsar M., D'Cruz D., Nathan M., Murphy M. Poncet's disease in a patient with AIDS. Rheumatology (Oxford). 2001. 40:346–7.
8). Southwood TR., Gaston JS. The molecular basis of Poncet's disease? Br J Rheumatol. 1990. 29:491.
9). van Eden W., Holoshitz J., Nevo Z., Frenkel A., Klajman A., Cohen IR. Arthritis induced by a T-lymphocyte clone that responds to Mycobacterium tuberculosis and to cartilage proteoglycans. Proc Natl Acad Sci USA. 1985. 82:5117–20.
10). van Eden W., de Vries RR., Stanford JL., Rook GA. HLA-DR3 associated genetic control of response to multiple skin tests with new tuberculins. Clin Exp Immunol. 1983. 52:287–92.
11). Ottenhoff TH., Torres P., de las Aguas JT., Fernandez R., van Eden W., de Vries RR, et al. Evidence for an HLA-DR4-associated immune-response gene for Mycobacterium tuberculosis. A clue to the pathogenesis of rheumatoid arthritis? Lancet. 1986. 2:310–3.
12). The Lancet. Immune reactions in tuberculosis. Lancet. 1984. 2:204.