{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T11:20:11Z","timestamp":1788175211855,"version":"build-2803163510"},"reference-count":23,"publisher":"Walter de Gruyter GmbH","issue":"3","funder":[{"name":"Indonesia Endowment Fund for Education (LPDP), Ministry of Finance of the Republic of Indonesia"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"j_dx-2025-0177_abs_001\">\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Poncet\u2019s disease (PD) is a rare form of TB-associated reactive arthritis, presents a major diagnostic challenge due to its close resemblance to rheumatoid arthritis and tuberculous septic arthritis. A clear diagnostic workflow is essential to support clinical decision-making to prevent misdiagnosis and inappropriate immunosuppressive treatment. This review synthesizes current evidence on the diagnostic characteristics of PD and propose a structured diagnostic workflow to improve clinical decision-making and reduce misdiagnosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_dx-2025-0177_abs_002\">\n                    <jats:title>Content<\/jats:title>\n                    <jats:p>A narrative review was conducted using major databases, focusing on publications between 2010 and 2025. Eligible studies included clinical descriptions, diagnostic criteria, differential diagnosis, and outcomes related to PD and TB-associated arthritis. PD is characterized by acute or subacute, non-erosive polyarthritis occurring concurrently with active TB at an extra-articular site. Laboratory tests typically reveal elevated erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) but negative autoantibodies, although low-titer RF or anti-CCP may occur. Synovial fluid is inflammatory but sterile, and imaging reveals no erosive changes\u00a0\u2013\u00a0features that help differentiate PD from tuberculous arthritis and rheumatoid arthritis. The most reliable diagnostic indicator is rapid and complete resolution of arthritis following anti-tuberculosis therapy (ATT). A diagnostic workflow integrating clinical screening, TB confirmation, exclusion of mimicking conditions, and therapeutic response assessment is proposed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_dx-2025-0177_abs_003\">\n                    <jats:title>Summary<\/jats:title>\n                    <jats:p>Poncet\u2019s disease remains a diagnosis of exclusion that requires a high index of clinical suspicion. Distinct clinical, laboratory, and imaging features, combined with a favorable response to ATT, are central to establishing the diagnosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_dx-2025-0177_abs_004\">\n                    <jats:title>Outlook<\/jats:title>\n                    <jats:p>Implementation of a standardized diagnostic workflow may minimize misdiagnosis, avoid unnecessary immunosuppression, and support timely initiation of ATT. Greater recognition of PD within diagnostic pathways is essential for improving outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1515\/dx-2025-0177","type":"journal-article","created":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T05:56:46Z","timestamp":1772776606000},"page":"359-367","source":"Crossref","is-referenced-by-count":1,"title":["Tuberculosis-induced arthritis (Poncet\u2019s disease): diagnostic challenges and a workflow for clinical decision-making"],"prefix":"10.1515","volume":"13","author":[{"given":"Rahma Isti","family":"Kusyadi","sequence":"first","affiliation":[{"name":"Department of Pulmonology and Respiratory Medicine, Faculty of Medicine , Airlangga University , Surabaya , East Java , Indonesia"},{"name":"Department of Pulmonology and Respiratory Medicine , Dr. Soetomo General Academic Hospital , Surabaya , East Java , Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lita Diah","family":"Rahmawati","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Faculty of Medicine , Airlangga University , Surabaya , East Java , Indonesia"},{"name":"Department of Internal Medicine , Dr. Soetomo General Academic Hospital , Surabaya , East Java , Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prastuti Asta","family":"Wulaningrum","sequence":"additional","affiliation":[{"name":"Department of Pulmonology and Respiratory Medicine, Faculty of Medicine , Airlangga University , Surabaya , East Java , Indonesia"},{"name":"Department of Pulmonology and Respiratory Medicine , Airlangga University Hospital , Surabaya , East Java , Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","published-online":{"date-parts":[[2026,3,9]]},"reference":[{"key":"2026083110583445401_j_dx-2025-0177_ref_001","unstructured":"World Health Organization. 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WHO consolidated guidelines on tuberculosis module 4: treatment and care. 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