Nyo Myat Tun Lin, Ally Mahmood M T M, Van Duuren Elsa Magreta, Arendse Regan
Department of Medicine, Division of Rheumatology, Sefako Makgatho Health Sciences University, Pretoria, South Africa.
Department of Internal Medicine, Division of Rheumatology, University of Pretoria, Pretoria, South Africa.
Case Rep Rheumatol. 2018 May 7;2018:3571247. doi: 10.1155/2018/3571247. eCollection 2018.
We report on a patient with seropositive polyarthritis retrospectively diagnosed as Poncet's disease in the preclinical phase of seropositive rheumatoid arthritis. Our patient developed rheumatoid arthritis more than 2 years after being successfully treated for pulmonary tuberculosis and an initial inflammatory polyarthritis consistent with the diagnosis of Poncet's disease. This case illustrates the importance of recognizing Poncet's disease in a patient presenting with polyarthritis in order to avoid inappropriate long-term disease modifying antirheumatic treatment. It also illustrates the need for adequate follow-up of patients with Poncet's disease after treatment with antituberculosis treatment so that progression to a primary inflammatory arthritis such as rheumatoid arthritis may be identified timeously. Although seropositivity for rheumatoid arthritis has been reported in Poncet's disease as well as in tuberculosis, it is rather uncommon, and long-term follow-up of patients with Poncet's disease is essential particularly if they have positive serological tests for rheumatoid arthritis. In this case report, we describe the first reported case of Poncet's disease in the preclinical phase of rheumatoid arthritis and review the literature related to this rare disease presentation.
我们报告了一名血清阳性多关节炎患者，该患者在血清阳性类风湿关节炎的临床前期被回顾性诊断为蓬塞病。我们的患者在成功治疗肺结核及最初符合蓬塞病诊断的炎性多关节炎后两年多，发展为类风湿关节炎。该病例说明了在出现多关节炎的患者中识别蓬塞病的重要性，以避免不恰当的长期改善病情抗风湿治疗。它还表明，对接受抗结核治疗后的蓬塞病患者进行充分随访非常必要，以便能及时发现向类风湿关节炎等原发性炎性关节炎的进展。尽管在蓬塞病以及肺结核中都有类风湿关节炎血清阳性的报道，但这种情况相当罕见，对蓬塞病患者进行长期随访至关重要，尤其是那些类风湿关节炎血清学检测呈阳性的患者。在本病例报告中，我们描述了类风湿关节炎临床前期首例报告的蓬塞病病例，并回顾了与这种罕见疾病表现相关的文献。
