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庞塞病(结核性风湿症)一例。

A case of Poncet's disease (tuberculous rheumatism).

作者信息

Ideguchi Haruko, Ohno Shigeru, Takase Kaoru, Tsukahara Toshinori, Kaneko Takeshi, Ishigatsubo Yoshiaki

机构信息

Center for Rheumatic Diseases, Yokohama City University Medical Center, 4-57 Urafune-cho, Minami-ku, Yokohama, Kanagawa, 232-0024, Japan.

出版信息

Rheumatol Int. 2009 Jul;29(9):1097-9. doi: 10.1007/s00296-008-0795-1. Epub 2008 Dec 3.

Abstract

We describe a 37-year-old woman with recurrent polyarthritis, and recurrent erythema nodosum on the flexible side of her left forearm. On an X-ray of the chest, infiltration of the right upper lobe was observed. Transcription-reverse transcription concerted reaction in sputum samples revealed Mycobacterium tuberculosis (M. tuberculosis). Resolution of the polyarthritis with anti-tuberculosis (TB) drugs occurred in 3 days. We diagnosed her with Poncet's disease (PD). PD is considered to be a reactive arthritis, which is a different entity from tuberculous arthritis. Although PD is a rare disease, we should be aware of it as one of the differential diagnoses, even in patients without typical symptoms of TB.

摘要

我们描述了一位37岁的女性,她患有复发性多关节炎,左前臂屈侧反复出现结节性红斑。胸部X线检查发现右上叶有浸润。痰标本的转录-逆转录协同反应显示结核分枝杆菌(结核杆菌)。抗结核药物治疗3天后多关节炎症状缓解。我们诊断她为蓬塞病(PD)。PD被认为是一种反应性关节炎,与结核性关节炎是不同的疾病实体。尽管PD是一种罕见疾病,但即使在没有典型结核病症状的患者中,我们也应将其作为鉴别诊断之一予以关注。

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