Disseminated tuberculosis associated with reactive arthritis of Poncet in an immunocompetent patient,

Detalhes bibliográficos
Autor(a) principal: Calado,Juliana de Oliveira Alves
Data de Publicação: 2020
Outros Autores: Miola,Anna Carolina, Silvares,Maria Regina Cavariani, Marques,Silvio Alencar
Tipo de documento: Relatório
Idioma: eng
Título da fonte: Anais brasileiros de dermatologia (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962020000300013
Resumo: Abstract Cutaneous tuberculosis is a rare extrapulmonary manifestation of tuberculosis which, like disseminated tuberculosis, commonly occurs in immunocompromised patients. Poncet reactive arthritis is a seronegative arthritis affecting patients with extrapulmonary tuberculosis, which is uncommon even in endemic countries. We report a previously healthy 23-year-old male patient with watery diarrhea associated with erythematous ulcers on the lower limbs and oligoarthritis of the hands. Histopathological examination of the skin showed epithelioid granulomatous process with palisade granulomas and central caseous necrosis. AFB screening by Ziehl-Neelsen staining showed intact bacilli, the culture was positive for Mycobacterium tuberculosis, and colonoscopy revealed multiple shallow ulcers. Disseminated tuberculosis associated with reactive Poncet arthritis was diagnosed, with an improvement of the clinical and skin condition after appropriate treatment.
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spelling Disseminated tuberculosis associated with reactive arthritis of Poncet in an immunocompetent patient,Arthritis, reactiveDermatologyTuberculosis, cutaneousAbstract Cutaneous tuberculosis is a rare extrapulmonary manifestation of tuberculosis which, like disseminated tuberculosis, commonly occurs in immunocompromised patients. Poncet reactive arthritis is a seronegative arthritis affecting patients with extrapulmonary tuberculosis, which is uncommon even in endemic countries. We report a previously healthy 23-year-old male patient with watery diarrhea associated with erythematous ulcers on the lower limbs and oligoarthritis of the hands. Histopathological examination of the skin showed epithelioid granulomatous process with palisade granulomas and central caseous necrosis. AFB screening by Ziehl-Neelsen staining showed intact bacilli, the culture was positive for Mycobacterium tuberculosis, and colonoscopy revealed multiple shallow ulcers. Disseminated tuberculosis associated with reactive Poncet arthritis was diagnosed, with an improvement of the clinical and skin condition after appropriate treatment.Sociedade Brasileira de Dermatologia2020-06-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962020000300013Anais Brasileiros de Dermatologia v.95 n.3 2020reponame:Anais brasileiros de dermatologia (Online)instname:Sociedade Brasileira de Dermatologia (SBD)instacron:SBD10.1016/j.abd.2019.08.031info:eu-repo/semantics/openAccessCalado,Juliana de Oliveira AlvesMiola,Anna CarolinaSilvares,Maria Regina CavarianiMarques,Silvio Alencareng2020-07-22T00:00:00Zoai:scielo:S0365-05962020000300013Revistahttp://www.anaisdedermatologia.org.br/https://old.scielo.br/oai/scielo-oai.phpabd@sbd.org.br||revista@sbd.org.br1806-48410365-0596opendoar:2020-07-22T00:00Anais brasileiros de dermatologia (Online) - Sociedade Brasileira de Dermatologia (SBD)false
dc.title.none.fl_str_mv Disseminated tuberculosis associated with reactive arthritis of Poncet in an immunocompetent patient,
title Disseminated tuberculosis associated with reactive arthritis of Poncet in an immunocompetent patient,
spellingShingle Disseminated tuberculosis associated with reactive arthritis of Poncet in an immunocompetent patient,
Calado,Juliana de Oliveira Alves
Arthritis, reactive
Dermatology
Tuberculosis, cutaneous
title_short Disseminated tuberculosis associated with reactive arthritis of Poncet in an immunocompetent patient,
title_full Disseminated tuberculosis associated with reactive arthritis of Poncet in an immunocompetent patient,
title_fullStr Disseminated tuberculosis associated with reactive arthritis of Poncet in an immunocompetent patient,
title_full_unstemmed Disseminated tuberculosis associated with reactive arthritis of Poncet in an immunocompetent patient,
title_sort Disseminated tuberculosis associated with reactive arthritis of Poncet in an immunocompetent patient,
author Calado,Juliana de Oliveira Alves
author_facet Calado,Juliana de Oliveira Alves
Miola,Anna Carolina
Silvares,Maria Regina Cavariani
Marques,Silvio Alencar
author_role author
author2 Miola,Anna Carolina
Silvares,Maria Regina Cavariani
Marques,Silvio Alencar
author2_role author
author
author
dc.contributor.author.fl_str_mv Calado,Juliana de Oliveira Alves
Miola,Anna Carolina
Silvares,Maria Regina Cavariani
Marques,Silvio Alencar
dc.subject.por.fl_str_mv Arthritis, reactive
Dermatology
Tuberculosis, cutaneous
topic Arthritis, reactive
Dermatology
Tuberculosis, cutaneous
description Abstract Cutaneous tuberculosis is a rare extrapulmonary manifestation of tuberculosis which, like disseminated tuberculosis, commonly occurs in immunocompromised patients. Poncet reactive arthritis is a seronegative arthritis affecting patients with extrapulmonary tuberculosis, which is uncommon even in endemic countries. We report a previously healthy 23-year-old male patient with watery diarrhea associated with erythematous ulcers on the lower limbs and oligoarthritis of the hands. Histopathological examination of the skin showed epithelioid granulomatous process with palisade granulomas and central caseous necrosis. AFB screening by Ziehl-Neelsen staining showed intact bacilli, the culture was positive for Mycobacterium tuberculosis, and colonoscopy revealed multiple shallow ulcers. Disseminated tuberculosis associated with reactive Poncet arthritis was diagnosed, with an improvement of the clinical and skin condition after appropriate treatment.
publishDate 2020
dc.date.none.fl_str_mv 2020-06-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/report
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format report
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962020000300013
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dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1016/j.abd.2019.08.031
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Sociedade Brasileira de Dermatologia
publisher.none.fl_str_mv Sociedade Brasileira de Dermatologia
dc.source.none.fl_str_mv Anais Brasileiros de Dermatologia v.95 n.3 2020
reponame:Anais brasileiros de dermatologia (Online)
instname:Sociedade Brasileira de Dermatologia (SBD)
instacron:SBD
instname_str Sociedade Brasileira de Dermatologia (SBD)
instacron_str SBD
institution SBD
reponame_str Anais brasileiros de dermatologia (Online)
collection Anais brasileiros de dermatologia (Online)
repository.name.fl_str_mv Anais brasileiros de dermatologia (Online) - Sociedade Brasileira de Dermatologia (SBD)
repository.mail.fl_str_mv abd@sbd.org.br||revista@sbd.org.br
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