Poncet’s Disease in the Preclinical Phase of Rheumatoid Arthritis

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...

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Main Authors: Myat Tun Lin Nyo, Mahmood M. T. M. Ally, Elsa Magreta Van Duuren, Regan Arendse
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Rheumatology
Online Access:http://dx.doi.org/10.1155/2018/3571247
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author Myat Tun Lin Nyo
Mahmood M. T. M. Ally
Elsa Magreta Van Duuren
Regan Arendse
author_facet Myat Tun Lin Nyo
Mahmood M. T. M. Ally
Elsa Magreta Van Duuren
Regan Arendse
author_sort Myat Tun Lin Nyo
collection DOAJ
description 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.
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spelling doaj-art-a7c497e6e63d41a6a1f58d037bdd49b72025-08-20T03:38:48ZengWileyCase Reports in Rheumatology2090-68892090-68972018-01-01201810.1155/2018/35712473571247Poncet’s Disease in the Preclinical Phase of Rheumatoid ArthritisMyat Tun Lin Nyo0Mahmood M. T. M. Ally1Elsa Magreta Van Duuren2Regan Arendse3Department of Medicine, Division of Rheumatology, Sefako Makgatho Health Sciences University, Pretoria, South AfricaDepartment of Internal Medicine, Division of Rheumatology, University of Pretoria, Pretoria, South AfricaDepartment of Medicine, Division of Rheumatology, Sefako Makgatho Health Sciences University, Pretoria, South AfricaDivision of Rheumatology, Community Rheumatology Care, University of Saskatchewan, 301-39 23rd St. East, Saskatoon, SK, S7K 0H6, CanadaWe 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.http://dx.doi.org/10.1155/2018/3571247
spellingShingle Myat Tun Lin Nyo
Mahmood M. T. M. Ally
Elsa Magreta Van Duuren
Regan Arendse
Poncet’s Disease in the Preclinical Phase of Rheumatoid Arthritis
Case Reports in Rheumatology
title Poncet’s Disease in the Preclinical Phase of Rheumatoid Arthritis
title_full Poncet’s Disease in the Preclinical Phase of Rheumatoid Arthritis
title_fullStr Poncet’s Disease in the Preclinical Phase of Rheumatoid Arthritis
title_full_unstemmed Poncet’s Disease in the Preclinical Phase of Rheumatoid Arthritis
title_short Poncet’s Disease in the Preclinical Phase of Rheumatoid Arthritis
title_sort poncet s disease in the preclinical phase of rheumatoid arthritis
url http://dx.doi.org/10.1155/2018/3571247
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