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NONDESTRUCTIVE TUBERCULOUS POLYARTHRITIS VERSUS TUBERCULOUS RHEUMATISM (PONCET): REPORT OF A CASE

NONDESTRUCTIVE TUBERCULOUS POLYARTHRITIS VERSUS TUBERCULOUS RHEUMATISM (PONCET): REPORT OF A CASE Abstract It is nearly forty years since Poncet1 described a type of tuberculous polyarthritis which resembles clinically an acute or chronic nonspecific articular disease, especially rheumatic fever or rheumatoid (atrophic) arthritis. The existence of such an entity is still controversial. The following case is among very few in which the tuberculous causation was verified by histologic examination and culture of the articular tissues. Numerous consultations in the United States and abroad reveal the differences and difficulties of interpretation and permit an analysis and evaluation of the conceptions of "tuberculous rheumatism." REPORT OF CASE Mrs. B. R. S., a Jewess aged 34, a teacher, first consulted us in May 1936 for pain in various joints and swelling and contracture of the left knee which had developed during a period of four years. Past and Family History. —In childhood the patient had some of the febrile diseases and also "rheumatic" pains of References 1. Poncet, A.: Rhumatisme tuberculeux abarticulaire: Localisations viscérales et autres du rhumatisme tuberculeux , Lyon méd. 99:65, 1902. 2. Slocumb, C. H., and Ghormley, R. K.: Polyarticular Tuberculous Arthritis , S. Clin. North America 15:1251, 1935. 3. Kling, D. H.: Unpublished data. 4. Brav, E. A., and Hench, P. S.: Tuberculous Rheumatism , J. Bone & Joint Surg. 16:839-866, 1934. 5. Hench, P. S., and others: The Present Status of Rheumatism and Arthritis: Review of American and English Literature for 1936 , Ann. Int. Med. 11:1108, 1938. 6. Copeman, W. S. C.: On a Tuberculous Factor in the Ætiology of Certain Cases of Rheumatoid (Atrophic) Arthritis , in Reports on Chronic Rheumatic Diseases , London, H. K. Lewis Company, Ltd., 1936, no. 2, pp. 24-25. 7. Frugoni, C., and Peserico, M. E.: Rhumatisme et tuberculose , Acta rheumatol. 4:9, 1932. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

NONDESTRUCTIVE TUBERCULOUS POLYARTHRITIS VERSUS TUBERCULOUS RHEUMATISM (PONCET): REPORT OF A CASE

Archives of Surgery , Volume 42 (5) – May 1, 1941

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Publisher
American Medical Association
Copyright
Copyright © 1941 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1941.01210110158013
Publisher site
See Article on Publisher Site

Abstract

Abstract It is nearly forty years since Poncet1 described a type of tuberculous polyarthritis which resembles clinically an acute or chronic nonspecific articular disease, especially rheumatic fever or rheumatoid (atrophic) arthritis. The existence of such an entity is still controversial. The following case is among very few in which the tuberculous causation was verified by histologic examination and culture of the articular tissues. Numerous consultations in the United States and abroad reveal the differences and difficulties of interpretation and permit an analysis and evaluation of the conceptions of "tuberculous rheumatism." REPORT OF CASE Mrs. B. R. S., a Jewess aged 34, a teacher, first consulted us in May 1936 for pain in various joints and swelling and contracture of the left knee which had developed during a period of four years. Past and Family History. —In childhood the patient had some of the febrile diseases and also "rheumatic" pains of References 1. Poncet, A.: Rhumatisme tuberculeux abarticulaire: Localisations viscérales et autres du rhumatisme tuberculeux , Lyon méd. 99:65, 1902. 2. Slocumb, C. H., and Ghormley, R. K.: Polyarticular Tuberculous Arthritis , S. Clin. North America 15:1251, 1935. 3. Kling, D. H.: Unpublished data. 4. Brav, E. A., and Hench, P. S.: Tuberculous Rheumatism , J. Bone & Joint Surg. 16:839-866, 1934. 5. Hench, P. S., and others: The Present Status of Rheumatism and Arthritis: Review of American and English Literature for 1936 , Ann. Int. Med. 11:1108, 1938. 6. Copeman, W. S. C.: On a Tuberculous Factor in the Ætiology of Certain Cases of Rheumatoid (Atrophic) Arthritis , in Reports on Chronic Rheumatic Diseases , London, H. K. Lewis Company, Ltd., 1936, no. 2, pp. 24-25. 7. Frugoni, C., and Peserico, M. E.: Rhumatisme et tuberculose , Acta rheumatol. 4:9, 1932.

Journal

Archives of SurgeryAmerican Medical Association

Published: May 1, 1941

References