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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...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Hindawi Publishing Corporation
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3639679/ https://www.ncbi.nlm.nih.gov/pubmed/23662237 http://dx.doi.org/10.1155/2013/923797 |
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author | Varshney, Ankur Nandan Kumar, Nilesh Tiwari, Ashutosh Anand, Ravi Prasad, Sashi Ranjan Anand, Arvind Mishra, Abhinandan Singh, N. K. |
author_facet | Varshney, Ankur Nandan Kumar, Nilesh Tiwari, Ashutosh Anand, Ravi Prasad, Sashi Ranjan Anand, Arvind Mishra, Abhinandan Singh, N. K. |
author_sort | Varshney, Ankur Nandan |
collection | PubMed |
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 | Online Article Text |
id | pubmed-3639679 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-36396792013-05-09 Unilateral RS3PE in a Patient of Seronegative Rheumatoid Arthritis Varshney, Ankur Nandan Kumar, Nilesh Tiwari, Ashutosh Anand, Ravi Prasad, Sashi Ranjan Anand, Arvind Mishra, Abhinandan Singh, N. K. Case Rep Rheumatol Case Report 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. Hindawi Publishing Corporation 2013 2013-04-10 /pmc/articles/PMC3639679/ /pubmed/23662237 http://dx.doi.org/10.1155/2013/923797 Text en Copyright © 2013 Ankur Nandan Varshney et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Varshney, Ankur Nandan Kumar, Nilesh Tiwari, Ashutosh Anand, Ravi Prasad, Sashi Ranjan Anand, Arvind Mishra, Abhinandan Singh, N. K. Unilateral RS3PE in a Patient of Seronegative Rheumatoid Arthritis |
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 |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3639679/ https://www.ncbi.nlm.nih.gov/pubmed/23662237 http://dx.doi.org/10.1155/2013/923797 |
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