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[Case Report] Poncet’s disease: unusual presentation of a common disease

A 30-year-old baker from South India, with no relevant medical history, presented to the internal medicine department in April, 2015, with 6 weeks of low grade fever, fatigue, and progressive polyarthritis affecting the large joints of his arms and legs, no small joint involvement, and no diurnal variation. He reported no contact with tuberculosis or high risk sexual behaviour. On examination he was febrile (38·9oC) and had multiple dull red tender nodules on the forehead, left cheek, and sternum.