Artrite de Poncet: relato de caso

Schweitzer, Louise Cardoso; Lipnharski, Francine; Prezzi, Sergio Henrique

doi:10.1590/s0482-50042011000400010

Cited by 10 publications

(8 citation statements)

References 6 publications

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“…A tuberculose tipicamente afeta os pulmões, mas pode atingir qualquer tecido do corpo. (3,5,7) Em 2019, foram registrados 73.864 casos novos de tuberculose no Brasil, com um coeficiente de incidência de 35,0 casos/100 mil habitantes. (3,4) A forma extrapulmonar representa 20% dos casos da doença.…”

Section: Discussionunclassified

“…(9,11) A coexistência entre artrite e eritema nodoso tem sido descrita devido a Yersinia enterocolitica e síndrome de Loffler, embora também tenha sido relatada na coexistência entre artrite reativa e tuberculose (doença de Poncet), uma apresentação rara da tuberculose. (7,9,11,14) A doença de Poncet possui comprometimento oligo ou poliarticular, assemelhando-se a outras artrites reativas, envolvendo grandes articulações, como joelho, tornozelo e quadril. Um pródromo geralmente ocorre 1 a 3 semanas antes do início do eritema nodoso.…”

Section: Discussionunclassified

“…(9,11) Para diagnóstico de doença de Poncet, os testes sorológicos para autoimunidade são negativos, e o teste tuberculínico, bem como as proteínas de fase aguda, está alterado. (7,11,14) Não há evidência microbiológica de invasão da micobactéria na articulação afetada e a análise do líquido sinovial é asséptica. (11,14) Ainda, devem existir evidência de tuberculose ativa extra-articular, manifestações reumáticas em mais de uma articulação, remissão completa do quadro após terapia antituberculosa, ausência de antecedentes pessoais e familiares, ausência de comprometimento axial e exclusão de outras doenças reumáticas.…”

Section: Discussionunclassified

“…(1,2) A uveíte posterior é considerada a manifestação mais comum da forma ocular, seguido de neurorretinite posterior e vasculite retiniana posterior. (8) O diagnóstico ocular é frequentemente presuntivo, pela ausência de evidência definitiva (microscopia, cultura ou PCR), (7) sendo baseado nos achados clínicos de doença sistêmica, na resposta clínica à terapia, ou em evidências de infecção com teste PPD ou interferon-gama (IGRA). (1,15) As manifestações extraoculares estão geralmente associadas a infecção secundária após infecção pulmonar.…”

Section: Discussionunclassified

“…(6) Ainda, alguns pacientes com diagnóstico de tuberculose possuem, concomitantemente, um acometimento articular reativo, não relacionado à invasão direta da micobactéria, denominado por alguns autores como doença de Poncet. (7) O presente estudo relata o caso de uma paciente adulta com diagnóstico presuntivo de tuberculose ocular, associada a eritema nodoso em ambos os membros inferiores e artrite reativa.…”

Section: Introductionunclassified

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Vasculite por tuberculose ocular associada a eritema nodoso e à doença de Poncet

Zanandréa¹,

Zanandréa²,

Cabral³

2023

Revista Brasileira De Oftalmologia

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Section: Discussionunclassified

Section: Introductionunclassified

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Vasculite por tuberculose ocular associada a eritema nodoso e à doença de Poncet

Zanandréa¹,

Zanandréa²,

Cabral³

2023

Revista Brasileira De Oftalmologia

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Poncet’s disease (reactive arthritis associated with tuberculosis): retrospective case series and review of literature

et al. 2012

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The primary objective of this study is to describe the demographics and clinical characteristics of patients with Poncet's disease (PD) in the Makkah region in Saudi Arabia, where tuberculosis is on the rise. The secondary objective is conducting a PD systematic literature review to compare our findings. We studied seven patients who presented with arthritis within the first 3 years from diagnosis of active tuberculosis in two centers in the Makkah region: King Faisal Specialist Hospital and King Fahad Hospital in Jeddah from January 2005 to December 2011. We conducted a literature review on PD in multiple biomedical/pharmaceutical databases up to December 2011. We detected a new pattern of reactive arthritis associated with tuberculosis (TB). We identified this as PD or tuberculous rheumatism, which is a sterile reactive arthritis that can emerge during any stage of acute TB infection. Seven cases of Poncet's disease were identified in our study. The most common presentation was extrapulmonary with involvement of multiple sites. Six out of seven patients developed arthritis after initiation of anti-TB drugs; one patient developed polyarthritis after completion of anti-TB medication. Asymmetrical polyarthritis was the most common presentation and the resolution of the arthritis was with symptomatic treatment and continuation of anti-TB drugs except in one case. PD may manifest in a variable pattern during the course of active tuberculous infection. Physicians should be aware of this rare complication associated with a common disease to prevent delay in diagnosis and initiation of appropriate treatment.

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Clinical features of Poncet’s disease. From the description of 198 cases found in the literature

Rueda¹,

Crepy²,

Mantilla³

2013

Clin Rheumatol

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Poncet's disease (PD) is an entity described as a reactive arthritis due to tuberculous infection elsewhere from the joints. PD existence has been questioned; however, more cases have been reported over the years. Due to its rare nature, little is known about the clinical picture of this disease and no prospective studies had been made to address this issue. We performed a systematic review of the written literature on PD in different databases using the key words "Poncet's disease," "tuberculous rheumatism," and "tuberculous reactive arthritis." Out of 78 articles, 198 patients were included in the analysis, plus our patient. Several characteristic patterns were found. Also, a review of the pathogenesis and some hypotheses are made. PD is a well-defined entity, which should be taken as a reactive arthritis for future studies given the increase in TB incidence and prevalence around the world, especially in high-burden countries.

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Artrite de Poncet: relato de caso

Cited by 10 publications

References 6 publications

Vasculite por tuberculose ocular associada a eritema nodoso e à doença de Poncet

Vasculite por tuberculose ocular associada a eritema nodoso e à doença de Poncet

Poncet’s disease (reactive arthritis associated with tuberculosis): retrospective case series and review of literature

Clinical features of Poncet’s disease. From the description of 198 cases found in the literature

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