TY - JOUR
AU - Clague,
AB -  Dear Sir, BCG vaccine is increasingly used as an adjuvant immunotherapy in carcinoma of the urinary bladder. Reactive arthritis [ 1 ], psoriatic arthritis [ 2 ] and Reiter's syndrome [ 3 ] are known to occur after intravesicle BCG therapy. We report here a case of a young and healthy woman who developed polyarthritis after intradermal BCG vaccine which was previously unknown. A 33‐year‐old woman presented with malaise, fever and joint pains of 10 days duration. Following a negative Heaf test, she received a BCG vaccine 3 weeks ago, prior to taking up a job as a social worker. One week before presentation she developed a sore throat for a few days and was given a 7 day course of amoxycillin. On initial examination, she showed evidence of a maculopapular rash on the face, back and lower limbs with painful joints but not definite synovitis or effusions. A week later she had developed synovitis in the right wrist, a few small joints of the hands, left shoulder, left knee and both ankles, with an effusion in the left knee. She received NSAIDs with little symptomatic response. A discharging ulcer was noted at the vaccination site (upper left 
TI - Arthritis after BCG vaccine in a healthy woman
JF - Journal of Internal Medicine
DO - 10.1046/j.1365-2796.1998.0371a.x
DA - 1998-08-01
UR - https://www.deepdyve.com/lp/wiley/arthritis-after-bcg-vaccine-in-a-healthy-woman-fOCGeln015
SP - 183
VL - 244
IS - 2
DP - DeepDyve
ER -