JLE

Cahiers Santé Médecine Thérapeutique

MENU

Poncet's disease: a rare case of aseptic oligoarthritis Volume 30, issue 6, Novembre-Décembre 2021

Authors
Médecine interne, centre hospitalier de Polynésie française
* Tirés à part

Poncet's rheumatism is an oligo- or polyarthritis in reaction to tuberculosis disease, mainly affecting the large and medium-sized joints. The diagnosis is based on the identification of a tuberculous focus in the patient and on the elimination of differential diagnoses, notably tuberculous arthritis, which is accompanied by the presence of Koch's bacillus in the joint fluid, Poncet's rheumatism being aseptic. We report the case of a 58-year-old female patient who presented with an altered general condition, enlarged and painful ankles and a lesion on the right leg. Imaging and bronchoalveolar lavage showed the presence of pulmonary tuberculosis. Four courses of anti-tuberculosis therapy led to the disappearance of the arthralgias, confirming the diagnosis of Poncet's rheumatism.