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Colegio de Medicina Interna de México.

2020, Number 5

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Med Int Mex 2020; 36 (5)

Reactive arthritis in tuberculosis (Poncet’s disease)

Mercado US, Valdivia-Mejía FMY

Language: Spanish
References: 13
Page: 727-729
PDF size: 178.70 Kb.


ABSTRACT

Background: Non-erosive reactive arthritis and erythema in active pulmonary or extra-pulmonary tuberculosis has received the eponymous of Poncet’s disease. The conventional treatment with drugs against tuberculosis produces relieve of arthritis.
Clinical cases: A 28-year-old female patient and a 40-year-old man who presented with seronegative, non-erosive symmetric polyarthritis associated with active pulmonary tuberculosis. The diagnosis of tuberculosis was stablished by clinical manifestations, chest X-ray, acid-fast bacilli staining (case 1), bronchoscopy, culture and PCR Xpert MTB/RIF (case 2). Autoimmune diseases and other infections were excluded. Patients improved rapidly with anti-tuberculous treatment.
Conclusions: Reactive arthritis in active tuberculosis must be included in the differential diagnosis of arthralgia and arthritis in endemic regions of tuberculosis.


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