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

Clin Rheumatol. 2013 Jul;32(7):929-35. doi: 10.1007/s10067-013-2270-y. Epub 2013 Apr 28.

Abstract

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.

Publication types

  • Case Reports
  • Review
  • Systematic Review

MeSH terms

  • Adult
  • Antitubercular Agents / therapeutic use
  • Arthritis, Reactive / complications
  • Arthritis, Reactive / diagnosis*
  • HLA Antigens / metabolism
  • HLA-B27 Antigen / metabolism
  • Humans
  • Male
  • Rheumatic Diseases / complications
  • Rheumatic Diseases / diagnosis*
  • Rheumatology / methods
  • Treatment Outcome
  • Tuberculosis, Pulmonary / complications*
  • Tuberculosis, Pulmonary / diagnosis

Substances

  • Antitubercular Agents
  • HLA Antigens
  • HLA-B27 Antigen