Ideguchi Haruko, Ohno Shigeru, Takase Kaoru, Tsukahara Toshinori, Kaneko Takeshi, Ishigatsubo Yoshiaki
Center for Rheumatic Diseases, Yokohama City University Medical Center, 4-57 Urafune-cho, Minami-ku, Yokohama, Kanagawa, 232-0024, Japan.
Rheumatol Int. 2009 Jul;29(9):1097-9. doi: 10.1007/s00296-008-0795-1. Epub 2008 Dec 3.
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.
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。
