以系统性红斑狼疮为伪装的播散性肺结核伴蓬塞病1例报告

A. R., Gyanshankar P. Mishra, R. Munje, Sanjay Gour
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引用次数: 0

摘要

结核(TB)风湿病(庞塞病)被定义为与肺外结核相关的多发性关节炎,其中没有证据表明细菌累及关节。我们报告一例21岁的女性,其初步的临床和实验室调查提示炎性关节病。患者并发抗增殖细胞核抗原(+)抗体抗核抗体弱阳性,提示系统性红斑狼疮。然而,经临床检查和调查,患者被诊断为播散性结核伴蓬塞病病例。患者开始抗结核治疗,治疗1个月后病情有所改善。该病例强调,Poncet病应被视为鉴别之一,而处理的病例不明原因或长期的关节痛。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Disseminated Tuberculosis with Poncet’s Disease Masquerading as Systemic Lupus Erythematosus – A Case Report
Tuberculosis (TB) rheumatism (Poncet’s disease) is defined as a polyarthritis associated with extrapulmonary TB in which there is no evidence of bacteriological involvement of the joints. We report a case of 21-year-old female whose initial clinical and laboratory investigations were suggestive of inflammatory arthropathy. The case was complicated by weak anti-nuclear antibody positivity of anti-proliferating cell nuclear antigen (+) antibodies, suggestive of systemic lupus erythematosus. However, after clinical examination and investigations, the patient was diagnosed as a case of disseminated TB with Poncet’s disease. The patient was started on anti-tubercular treatment and showed improvement at the end of 1st month of treatment. The case highlights that Poncet’s disease should be considered as one of the differentials while dealing with cases of unexplained or prolonged arthralgia.
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