1. INTRODUCTIONKenya is a high burden TB country, and ranks among the 30 countries which account for over 80% of all TB cases worldwide1. It is estimated that TB affects 267 people for every 100, 000 population in Kenya, yet up to 40% of the affected individuals remain undetected and untreated1.Poncet’s disease, a joint manifestation of active tuberculous infection presents as a non-erosive inflammatory arthritis2, and mostly affects the ankle joint although other joints like knees, shoulders, elbows, wrists, metacarpophalangeal and metatarsophalangeal joints can be affected3.In a region with high TB burden, the clinician must have a high index of suspicion not to miss this potentially treatable condition especially among patients presenting with inflammatory, non-erosive, non-deforming arthritis. We hereby present a case of Poncet’s disease managed in a peripheral centre in Kenya, and which was initially diagnosed as osteoarthritis.