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Article
May 1941

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

Author Affiliations

LOS ANGELES
From the Orthopedic Department of the College of Medical Evangelists, White Memorial Hospital.

Arch Surg. 1941;42(5):956-967. doi:10.1001/archsurg.1941.01210110158013
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

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