Remitting Seronegative Symmetrical Synovitis with Pitting Edema Syndrome Caused by Crystal-Induced Arthritis of the Wrist: A Case Report

被引：6

作者：

Hakozaki, Michiyuki ^{[1
,3
]}

Fukuda, Hironari ^{[1
,3
]}

Tajino, Takahiro ^{[3
]}

Kikuchi, Shinichi ^{[3
]}

Abe, Satoshi ^{[2
]}

Konno, Shinichi ^{[3
]}

机构：

[1] Fukushima Prefectural Minami Aizu Hosp, Dept Orthopaed Surg, Fukushima 9670006, Japan

[2] Fukushima Prefectural Minami Aizu Hosp, Dept Internal Med, Fukushima 9670006, Japan

[3] Fukushima Med Univ, Dept Orthopaed Surg, Sch Med, Fukushima, Japan

来源：

MEDICAL PRINCIPLES AND PRACTICE | 2013年 / 22卷 / 03期

关键词：

Remitting seronegative symmetrical synovitis with pitting edema syndrome; Crystal-induced arthritis; Gout; Intra-articular corticosteroid injection; Nonsteroidal anti-inflammatory drugs; RS3PE SYNDROME;

D O I：

10.1159/000342826

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Objective: To describe a rare case of remitting seronegative symmetrical synovitis with pitting edema (RS3PE) syndrome caused by gouty arthritis. Clinical Presentation and Intervention: A 76-year-old man presented with swelling and pain in the dorsum of feet and hands bilaterally. From the laboratory and radiologic findings, the diagnosis of gout-induced RS3PE syndrome was made. Conservative therapy with nonsteroidal anti-inflammatory drugs (NSAIDs) and intra-articular corticosteroid injection in the wrist joint completely and rapidly resolved all symptoms. The patient was successfully treated with oral administration of NSAIDs and a one-time intra-articular corticosteroid injection in the left wrist joint. Conclusion: This case demonstrated the importance of considering the possibility of crystal-induced arthritis such as gout and pseudogout, as well as malignant disease, when diagnosing the primary disease responsible for RS3PE syndrome. Copyright (C) 2012 S. Karger AG, Basel

引用

页码：307 / 310

页数：4

共 6 条

[1] Determinants of Blood Uric Acid Levels in a Dyslipidemic Arab Population [J].

Al-Meshaweh, Ahoud F. ;

Jafar, Yaqoub ;

Asem, Mohammad ;

Akanji, Abayomi O. .

MEDICAL PRINCIPLES AND PRACTICE, 2012, 21 (03) :209-216

[2] Update on identification of pathogenic crystals in joint fluid. [J].

Chen L.X. ;

Clayburne G. ;

Schumacher H.R. .

Current Rheumatology Reports, 2004, 6 (3) :217-220

[3] REMITTING SERONEGATIVE SYMMETRICAL SYNOVITIS WITH PITTING EDEMA - RS3PE SYNDROME [J].

MCCARTY, DJ ;

ODUFFY, JD ;

PEARSON, L ;

HUNTER, JB .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1985, 254 (19) :2763-2767

[4]

Oide T, 2004, CLIN EXP RHEUMATOL, V22, P91

[5] Symmetrical pitting edema resembling RS3PE in gout [J].

Palazzi, C ;

Olivieri, I ;

D'Amico, E ;

Pace-Palitti, V ;

Petricca, A .

CLINICAL RHEUMATOLOGY, 2003, 22 (06) :506-507

[6] Remitting seronegative symmetrical synovitis with pitting edema (RS3PE) syndrome following spontaneous rupture of a gouty tophus [J].

Sugisaki, Kota ;

Hirose, Taro .

MODERN RHEUMATOLOGY, 2008, 18 (06) :630-633

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