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A Case of Poncet's Disease in a Patient with Pulmonary Tuberculosis

폐결핵 환자에서 나타난 Poncet병 1예

Park, Sung-Soo;Yun, Chan-Young;Kang, Eun-Ha;Lee, Eun-Young;Lee, Yun-Jong;Lee, Eun-Bong;Song, Yeong-Wook
박성수;윤찬영;강은하;이은영;이윤종;이은봉;송영욱

  • Published : 2010.06.30

Abstract

Since 1897 when Poncet first described polyarthritis in the acute stage of extra-articular tuberculosis, Poncet's disease has been considered a reactive arthritis to Mycobacterium tuberculosis. It is characterized by polyarthritis without evidence of direct mycobacterial involvement in patients with active tuberculosis, and eventually resolves without residual joint damage. Even though Poncet's disease is uncommon, the distinction between Poncet's disease and other arthritis, including tuberculous arthritis is clinically important. We report the second case of Poncet's disease diagnosed in a patient with pulmonary tuberculosis in Korea and review the relevant literature.

저자들은 공동성 폐결핵으로 진단받고 항결핵제 약물치료를 시작한 51세 남자 환자에서 다발성 비감염성 관절염이 발생하여 Poncet병으로 진단된 증례를 경험하였다. 그 빈도가 높지는 않지만, 서구와 달리 한국의 결핵 유병률이 높고 전세계적으로 결핵이 재유행하는 시점에서 결핵 환자에서 발생한 관절염에 대한 감별 목록에 반드시 Poncet병이 포함되어야 하므로 문헌고찰과 함께 증례를 보고하는 바이다.

Keywords

References

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