Journal of Rheumatic Diseases

Korean College of Rheumatology (대한류마티스학회)
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A Case of Peritoneal Tuberculosis with Poncet's Disease in a Patient Treated with Infliximab

Infliximab으로 치료 받은 환자에서 발생한 결핵성 복막염과 동반된 Poncet's Disease 1예

  • Park, Hyo (Department of Internal Medicine, Eulji University School of Medicine) ;
  • Park, Chan-Woong (Department of Internal Medicine, Eulji University School of Medicine) ;
  • Kim, Ki-Bang (Department of Internal Medicine, Eulji University School of Medicine) ;
  • Lee, Min-Ji (Department of Internal Medicine, Eulji University School of Medicine) ;
  • Zeon, Seok-Jae (Department of Internal Medicine, Eulji University School of Medicine) ;
  • Shim, Seung-Cheol (Department of Internal Medicine, Eulji University School of Medicine) ;
  • Lim, Mi-Kyung (Department of Internal Medicine, Eulji University School of Medicine) ;
  • Sheen, Dong-Hyuk (Department of Internal Medicine, Eulji University School of Medicine)
  • 박효 (을지대학교 의과대학 내과학교실) ;
  • 박찬웅 (을지대학교 의과대학 내과학교실) ;
  • 김기방 (을지대학교 의과대학 내과학교실) ;
  • 이민지 (을지대학교 의과대학 내과학교실) ;
  • 전석재 (을지대학교 의과대학 내과학교실) ;
  • 심승철 (을지대학교 의과대학 내과학교실) ;
  • 임미경 (을지대학교 의과대학 내과학교실) ;
  • 신동혁 (을지대학교 의과대학 내과학교실)
  • Published : 2011.03.30
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Abstract

Infliximab is a chimeric mouse/human monoclonal antibody against tumor necrosis factor-alpha (TNF-$\alpha$) that is used worldwide to treat rheumatic disease. However, the reactivation of tuberculosis, including extrapulmonary menifestation, is a severe side effect of anti-TNF-$\alpha$ treatment. Mycobacterium tubercluosis causes two forms of joint involvement, TB arthritis and Poncet's disease. Poncet's disease is a rare aseptic form of arthritis, known as reactive arthritis in tuberculosis. We encountered a case of tuberculous peritonitis with Poncet's disease in a 38-yearold man with a history of ankylosing spondylitis that was treated with infliximab. We report this case with a review of the literature.

저자들은 infliximab치료를 받은 강직성척추염 환자에서 유발된 결핵성 복막염을 진단받고 항결핵제를 복용중인 38세 남자에서 발생한 다발성 관절염을 관찰하고 강직성 척추염에 의한 말초 관절염과 결핵성 관절염을 감별하여 Poncet's disease로 진단하고 치료하여 증상의 호전을 보인 증례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

Keywords

References

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Cited by

  1. 결절홍반을 동반한 폐결핵환자에 나타난 Poncet병 1예 vol.71, pp.3, 2011, https://doi.org/10.4046/trd.2011.71.3.221
  2. Tuberculous Peritonitis in a Patient with Rheumatoid Arthritis Treated with Infliximab vol.18, pp.4, 2011, https://doi.org/10.4078/jrd.2011.18.4.320
  3. A Case of Peritoneal Tuberculosis Developed after Infliximab Therapy for Refractory RA vol.73, pp.4, 2012, https://doi.org/10.4046/trd.2012.73.4.234