[RS3PE-syndrome].
The RS3PE syndrome (Remitting Seronegative Symmetrical Synovitis with Pitting Edema) is a manifestation of rheumatoid arthritis in the elderly with a good prognosis. It usually presents as an acute, symmetric polysynovitis with edema of the dorsum of the hands and feet. Anti-inflammatory treatment with corticosteroids leads to prompt improvement. We describe the case of an 81 year old man with a primarily unilateral manifestation involving the right hand. A thrombosis of the axillary vein was suspected. Within a few days he developed a pitting edema of the dorsum of the other hand. Movement of both shoulders and wrists was painful. Low-dose corticosteroid therapy resulted in a rapid improvement of the edema and the inflammatory symptoms.
Segerer
S
S
Klinikum Innenstadt der Ludwig-Maximilians-Universität, München. Stephan.Segerer@lrz.uni-muenchen.de
Dietz-Laukemann
P
P
Schattenkirchner
M
M
D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000368:Aged; D000369:Aged, 80 and over; D001172:Arthritis, Rheumatoid / Q000175:diagnosis / Q000188:drug therapy; D004487:Edema / Q000175:diagnosis* / Q000188:drug therapy; D006801:Humans; D008297:Male; D011379:Prognosis; D012698:Serologic Tests; D013577:Syndrome; D013585:Synovitis / Q000175:diagnosis* / Q000188:drug therapy
D000305:Adrenal Cortex Hormones