Remitting seronegative symmetrical synovitis pitting oedema after BCG instillation.
Remitting seronegative symmetrical synovitis pitting oedema (RS3PE) is a distinct form of seronegative rheumatoid arthritis like polyarthritis. It is characterized by late onset symmetrical joint involvement and pitting oedema of hands and feet (JAMA 254(19):2763-2767, [1]). Polyarthritis secondary to intravesical Bacillus Calmette Guerin (BCG) therapy has been reported (Clin Rheumatol 21:536-537, [2]). To our knowledge, about 0.5% of patients receiving BCG instillation presented polyarthritis, but only one case of RS3PE has been reported (J Rheumatol 28:1699-1701, [3]). We described the second case of RS3PE following intravesical BCG instillation of bladder carcinoma.
Hôpital de Rangueil, 1, 1 avenue Poulhes, 31059, Toulouse, France. elmahousoumaya2003@yahoo.fr
Soumaya
S
El Mahou
Luciana
L
Popa
Arnaud
A
Constantin
Alain
A
Cantagrel
Achour
A
Aberrane
Benedicte
B
Jamard
Bernard
B
Mazieres
Michel
M
Laroche
D000276:Adjuvants, Immunologic / Q000008:administration & dosage / Q000009:adverse effects*; D000283:Administration, Intravesical; D000368:Aged; D001168:Arthritis / Q000209:etiology; D001500:BCG Vaccine / Q000008:administration & dosage / Q000009:adverse effects*; D002277:Carcinoma / Q000628:therapy*; D004487:Edema / Q000209:etiology*; D006801:Humans; D008297:Male; D012698:Serologic Tests; D013585:Synovitis / Q000209:etiology*; D001749:Urinary Bladder Neoplasms / Q000628:therapy*
D000276:Adjuvants, Immunologic; D001500:BCG Vaccine