Poncet's disease: a symmetric seronegative polyarthritis with enthesopathy refractory to therapy
Autor(a) principal: | |
---|---|
Data de Publicação: | 2013 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10362/22371 |
Resumo: | Poncet's disease is a reactive polyarthritis associated to active tuberculosis (TB), with excluded presence of mycobacterium in the joints and bones affected, and no other cause for the clinical arthritis. It is a frequently forgotten entity, especially in countries with low tuberculosis prevalence. It is described a case report of a man of Guinea-Bissau that presented symmetrical generalized polyarthralgias and hands swelling, clinical sacroiliitis and multiple enthesopathies. Serum and urinary biochemical testing were normal. Immunologic studies were negative and serum levels of angiotensin-converting enzyme and calcium were normal. Sexual transmitted diseases were excluded. The initial diagnose was undifferentiated polyarthritis or reactive arthritis. A persistent and refractory monoarthritis of the right wrist demanded a direct and cultural exam of the synovial fluid, synovial biopsy and protein chain reaction for TB that were negative. After he developed right wrist arthritis with purulent synovial fluid positive to TB in the direct exam and the detection of M. tuberculosis in the cultural exam. Granula was found in his chest radiograph. He was diagnosed a Poncet's disease reactive to a pulmonary TB infection. |
id |
RCAP_ef89b50883ba8b3cd66feb3cda724764 |
---|---|
oai_identifier_str |
oai:run.unl.pt:10362/22371 |
network_acronym_str |
RCAP |
network_name_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository_id_str |
7160 |
spelling |
Poncet's disease: a symmetric seronegative polyarthritis with enthesopathy refractory to therapyTuberculosisReactive arthritisTUBERCULOSISHLA-B27REACTIVE ARTHRITISSacroiliitisReactive arthritisSacroiliitisTuberculosisSDG 3 - Good Health and Well-beingPoncet's disease is a reactive polyarthritis associated to active tuberculosis (TB), with excluded presence of mycobacterium in the joints and bones affected, and no other cause for the clinical arthritis. It is a frequently forgotten entity, especially in countries with low tuberculosis prevalence. It is described a case report of a man of Guinea-Bissau that presented symmetrical generalized polyarthralgias and hands swelling, clinical sacroiliitis and multiple enthesopathies. Serum and urinary biochemical testing were normal. Immunologic studies were negative and serum levels of angiotensin-converting enzyme and calcium were normal. Sexual transmitted diseases were excluded. The initial diagnose was undifferentiated polyarthritis or reactive arthritis. A persistent and refractory monoarthritis of the right wrist demanded a direct and cultural exam of the synovial fluid, synovial biopsy and protein chain reaction for TB that were negative. After he developed right wrist arthritis with purulent synovial fluid positive to TB in the direct exam and the detection of M. tuberculosis in the cultural exam. Granula was found in his chest radiograph. He was diagnosed a Poncet's disease reactive to a pulmonary TB infection.NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)RUNSilva, InesMateus, MBranco, Jaime2017-08-01T22:00:34Z2013-072013-07-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article4application/pdfhttp://hdl.handle.net/10362/22371eng0303-464XPURE: 216894info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T04:09:50Zoai:run.unl.pt:10362/22371Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:27:15.389113Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Poncet's disease: a symmetric seronegative polyarthritis with enthesopathy refractory to therapy |
title |
Poncet's disease: a symmetric seronegative polyarthritis with enthesopathy refractory to therapy |
spellingShingle |
Poncet's disease: a symmetric seronegative polyarthritis with enthesopathy refractory to therapy Silva, Ines Tuberculosis Reactive arthritis TUBERCULOSIS HLA-B27 REACTIVE ARTHRITIS Sacroiliitis Reactive arthritis Sacroiliitis Tuberculosis SDG 3 - Good Health and Well-being |
title_short |
Poncet's disease: a symmetric seronegative polyarthritis with enthesopathy refractory to therapy |
title_full |
Poncet's disease: a symmetric seronegative polyarthritis with enthesopathy refractory to therapy |
title_fullStr |
Poncet's disease: a symmetric seronegative polyarthritis with enthesopathy refractory to therapy |
title_full_unstemmed |
Poncet's disease: a symmetric seronegative polyarthritis with enthesopathy refractory to therapy |
title_sort |
Poncet's disease: a symmetric seronegative polyarthritis with enthesopathy refractory to therapy |
author |
Silva, Ines |
author_facet |
Silva, Ines Mateus, M Branco, Jaime |
author_role |
author |
author2 |
Mateus, M Branco, Jaime |
author2_role |
author author |
dc.contributor.none.fl_str_mv |
NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM) RUN |
dc.contributor.author.fl_str_mv |
Silva, Ines Mateus, M Branco, Jaime |
dc.subject.por.fl_str_mv |
Tuberculosis Reactive arthritis TUBERCULOSIS HLA-B27 REACTIVE ARTHRITIS Sacroiliitis Reactive arthritis Sacroiliitis Tuberculosis SDG 3 - Good Health and Well-being |
topic |
Tuberculosis Reactive arthritis TUBERCULOSIS HLA-B27 REACTIVE ARTHRITIS Sacroiliitis Reactive arthritis Sacroiliitis Tuberculosis SDG 3 - Good Health and Well-being |
description |
Poncet's disease is a reactive polyarthritis associated to active tuberculosis (TB), with excluded presence of mycobacterium in the joints and bones affected, and no other cause for the clinical arthritis. It is a frequently forgotten entity, especially in countries with low tuberculosis prevalence. It is described a case report of a man of Guinea-Bissau that presented symmetrical generalized polyarthralgias and hands swelling, clinical sacroiliitis and multiple enthesopathies. Serum and urinary biochemical testing were normal. Immunologic studies were negative and serum levels of angiotensin-converting enzyme and calcium were normal. Sexual transmitted diseases were excluded. The initial diagnose was undifferentiated polyarthritis or reactive arthritis. A persistent and refractory monoarthritis of the right wrist demanded a direct and cultural exam of the synovial fluid, synovial biopsy and protein chain reaction for TB that were negative. After he developed right wrist arthritis with purulent synovial fluid positive to TB in the direct exam and the detection of M. tuberculosis in the cultural exam. Granula was found in his chest radiograph. He was diagnosed a Poncet's disease reactive to a pulmonary TB infection. |
publishDate |
2013 |
dc.date.none.fl_str_mv |
2013-07 2013-07-01T00:00:00Z 2017-08-01T22:00:34Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10362/22371 |
url |
http://hdl.handle.net/10362/22371 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
0303-464X PURE: 216894 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
4 application/pdf |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
|
_version_ |
1799137901185859584 |