Unilateral RS3PE in a Patient of Seronegative Rheumatoid Arthritis
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...
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| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Rheumatology |
| Online Access: | http://dx.doi.org/10.1155/2013/923797 |
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| author | Ankur Nandan Varshney Nilesh Kumar Ashutosh Tiwari Ravi Anand Sashi Ranjan Prasad Arvind Anand Abhinandan Mishra N. K. Singh |
| author_facet | Ankur Nandan Varshney Nilesh Kumar Ashutosh Tiwari Ravi Anand Sashi Ranjan Prasad Arvind Anand Abhinandan Mishra N. K. Singh |
| author_sort | Ankur Nandan Varshney |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-81e6c4439cf24ce39a14fc11c66d5be4 |
| institution | Kabale University |
| issn | 2090-6889 2090-6897 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Rheumatology |
| spelling | doaj-art-81e6c4439cf24ce39a14fc11c66d5be42025-02-03T01:28:00ZengWileyCase Reports in Rheumatology2090-68892090-68972013-01-01201310.1155/2013/923797923797Unilateral RS3PE in a Patient of Seronegative Rheumatoid ArthritisAnkur Nandan Varshney0Nilesh Kumar1Ashutosh Tiwari2Ravi Anand3Sashi Ranjan Prasad4Arvind Anand5Abhinandan Mishra6N. K. Singh7Division of Rheumatology, Department of General Medicine, Institute of Medical Sciences, Banaras Hindu University, Varanasi 221005, IndiaDivision of Rheumatology, Department of General Medicine, Institute of Medical Sciences, Banaras Hindu University, Varanasi 221005, IndiaDivision of Rheumatology, Department of General Medicine, Institute of Medical Sciences, Banaras Hindu University, Varanasi 221005, IndiaDivision of Rheumatology, Department of General Medicine, Institute of Medical Sciences, Banaras Hindu University, Varanasi 221005, IndiaDivision of Rheumatology, Department of General Medicine, Institute of Medical Sciences, Banaras Hindu University, Varanasi 221005, IndiaDivision of Rheumatology, Department of General Medicine, Institute of Medical Sciences, Banaras Hindu University, Varanasi 221005, IndiaDivision of Rheumatology, Department of General Medicine, Institute of Medical Sciences, Banaras Hindu University, Varanasi 221005, IndiaDivision of Rheumatology, Department of General Medicine, Institute of Medical Sciences, Banaras Hindu University, Varanasi 221005, IndiaRemitting 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.http://dx.doi.org/10.1155/2013/923797 |
| spellingShingle | Ankur Nandan Varshney Nilesh Kumar Ashutosh Tiwari Ravi Anand Sashi Ranjan Prasad Arvind Anand Abhinandan Mishra N. K. Singh Unilateral RS3PE in a Patient of Seronegative Rheumatoid Arthritis Case Reports in Rheumatology |
| title | Unilateral RS3PE in a Patient of Seronegative Rheumatoid Arthritis |
| title_full | Unilateral RS3PE in a Patient of Seronegative Rheumatoid Arthritis |
| title_fullStr | Unilateral RS3PE in a Patient of Seronegative Rheumatoid Arthritis |
| title_full_unstemmed | Unilateral RS3PE in a Patient of Seronegative Rheumatoid Arthritis |
| title_short | Unilateral RS3PE in a Patient of Seronegative Rheumatoid Arthritis |
| title_sort | unilateral rs3pe in a patient of seronegative rheumatoid arthritis |
| url | http://dx.doi.org/10.1155/2013/923797 |
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