Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case of Poncet's Disease in a Patient with Pulmonary Tuberculosis Accompanying Erythema Nodosum

결절홍반을 동반한 폐결핵환자에 나타난 Poncet병 1예

  • 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)
  • 한나 (인산의료재단 선린병원 내과) ;
  • 이수경 (인산의료재단 선린병원 내과) ;
  • 김태진 (인산의료재단 선린병원 내과) ;
  • 송윤석 (인산의료재단 선린병원 내과) ;
  • 정선호 (인산의료재단 선린병원 내과) ;
  • 양경호 (인산의료재단 선린병원 내과) ;
  • 최성진 (인산의료재단 선린병원 내과) ;
  • 신원혁 (인산의료재단 선린병원 내과)
  • Received : 2011.06.10
  • Accepted : 2011.06.24
  • Published : 2011.09.30
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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

References

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  1. Clinical features of Poncet’s disease. From the description of 198 cases found in the literature vol.32, pp.7, 2011, https://doi.org/10.1007/s10067-013-2270-y