Unilateral RS3PE in a Patient of Seronegative Rheumatoid Arthritis

Author:

Varshney Ankur Nandan1,Kumar Nilesh1,Tiwari Ashutosh1,Anand Ravi1,Prasad Sashi Ranjan1,Anand Arvind1,Mishra Abhinandan1,Singh N. K.1

Affiliation:

1. Division of Rheumatology, Department of General Medicine, Institute of Medical Sciences, Banaras Hindu University, Varanasi 221005, India

Abstract

Remitting seronegative symmetrical synovitis with pitting edema (RS3PE) is a rare but well-reported clinical entity. It is classically described as symmetrical involvement of both upper extremities. Asymmetrical involvement had also been reported, but unilateral presentation is very rare. We hereby report a case of unilateral RS3PE in a patient of seronegative rheumatoid arthritis which was initially misdiagnosed as cellulitis and was given high dose antibiotics without any significant improvement. Later a rheumatologic consultation leads to a prompt diagnosis, and treatment with steroids leads to dramatic reversal of symptoms. This case demonstrates the rare presentation of this rare clinical entity and highlights the necessity of awareness regarding unilateral disease to clinicians.

Publisher

Hindawi Limited

Subject

General Agricultural and Biological Sciences

Cited by 3 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. RS3PE Following Treatment With Combination of Hormonal Therapies Plus Ipilimumab in a Patient With Metastatic Prostate Cancer;Journal of Immunotherapy and Precision Oncology;2020-05-14

2. Remitting seronegative symmetrical synovitis with pitting edema (RS3PE) syndrome;Cukurova Medical Journal (Çukurova Üniversitesi Tıp Fakültesi Dergisi);2017-03-31

3. El síndrome RS3PE: actualización de su tratamiento a propósito de un caso;SEMERGEN - Medicina de Familia;2015-11

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