A Case of Poncet’s Disease Masquerading Rheumatoid Arthritis

2013 ◽  
Vol 3 (1) ◽  
pp. 64-67
Author(s):  
Gopal Chandra Ghosh

Poncet’s disease is a rare clinical condition, occurs in in the setting of active pulmonary and extrapulmonary tuberculosis. It typically manifestated by arthritis of large joints, without direct invasion of joints by tubercle bacilli. Rarely it involves small joints thus sometimes mimic rheumatoid arthritis The author is reporting a case of a 17 year old female with evidence of active pulmonary tuberculosis presented with additive evidence of polyarthritis of large as well as small joints. On further investigation joint aspirate did not reveal any direct invasion by tubercle bacilli and patients symptoms responded completely to anti tuberculous therapy. The diagnosis of Poncet’s disease was established.

JMS SKIMS ◽  
2018 ◽  
Vol 21 (1) ◽  
pp. 11-16
Author(s):  
Abdul Ahad Wani ◽  
Javeed Iqbal Bhat ◽  
Muzafar Naik ◽  
Nisar Ahmed Dar ◽  
Syed Masood Ahmed

Background: India accounts for one-fourth of the global tuberculosis (TB) burden. Since the countrywide implementation of RNTCP, tuberculosis care has received renewed focus. Directly observed treatment short-term (DOTS) is a cornerstone of RNTCP program. Objective: To evaluate demographic profile, clinical presentation and outcome of TB in district Baramulla of North Kashmir. Methods:  A prospective study over a period of seven years in patients diagnosed with TB in district Baramulla of North Kashmir. Results: This study was conducted prospectively over seven years from March 2011 to February 2017. A total of 802 patients were enrolled in the study. Among them, there were a total of 638 adult patients and 164 paediatric patients with a male: female ratio of 1:0.99. Majority of patients belonged to rural areas of north Kashmir and had received no or elementary education. Pulmonary tuberculosis was diagnosed in 530 (66 %) patients and 272 (34%) patients were diagnosed as extrapulmonary tuberculosis. Sputum for AFB was important mode of diagnosis in our series and was positive in 525 (65%) our patients. Majority of patients presented with fever, weight loss, and night sweats. None of the patients had Acquired Immunodeficiency syndrome (AIDS). There was a consistent improvement in AFB isolation among TB patients over the study period. Majority of our patients were cured completely of disease Conclusion: Sputum positive pulmonary tuberculosis remains the most common presentation of tuberculosis in North Kashmir. There is a steady increase in the proportion of bacteriologically confirmed TB cases over the study period. Furthermore, DOTS treatment is successful in all forms of tuberculosis. JMS 2018;21(1):11-16


Blood ◽  
1963 ◽  
Vol 22 (3) ◽  
pp. 334-341 ◽  
Author(s):  
RICHARD D. LEVERE ◽  
HERBERT C. LICHTMAN ◽  
Joan Levine

Abstract The relative rates of incorporation of Fe59 into heterogenic hemoglobins was studied in four patients with sickle cell trait. Three of the patients were free of superimposed disease, while one had active pulmonary tuberculosis. In all subjects there was a significantly greater incorporation of radioiron, per milligram of hemoglobin, into hemoglobin S than into hemoglobin A. The data indicate that in sickle cell trait the rates of synthesis of the heterogenic hemoglobins are not proportional to their circulating concentrations. Two interpretations appear possible. Since the size of the intra-marrow pool of hemoglobin S was not known, it is possible that there exists a smaller preformed pool of the abnormal hemoglobin, with the isotope making its appearance first in hemoglobin S. However, it is also possible that hemoglobin S is synthesized at a rate which is greater than that reflected by its circulating concentration. This implies that the relative concentrations of hemoglobin S and hemoglobin A vary from erythrocyte to erythrocyte, and that those cells with the greatest proportion of hemoglobin S are selectively destroyed.


2021 ◽  
Vol 2021 (6) ◽  
Author(s):  
Bryan Vonasek ◽  
Tara Ness ◽  
Yemisi Takwoingi ◽  
Alexander W Kay ◽  
Susanna S van Wyk ◽  
...  

2021 ◽  
Vol 39 ◽  
pp. 100828
Author(s):  
S. Zayet ◽  
A. Zaghdoudi ◽  
H. Harrabi ◽  
A. Goubantini ◽  
H. Tiouiri Benaissa

2006 ◽  
Vol 209 (4) ◽  
pp. 321-328 ◽  
Author(s):  
Teyfik Turgut ◽  
Handan Akbulut ◽  
Figen Deveci ◽  
Canan Kacar ◽  
M. Hamdi Muz

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