[Oedematous polyarthritis and myopericarditis as presenting features of periarteritis nodosa].
Remitting symmetrical seronegative synovitis with pitting edema (RS3PE) syndrome is a rare type of seronegative polyarthritis occurring in the elderly. It can be associated to various diseases. We report a case of RS3PE syndrome associated with myopericarditis, leading to the diagnosis of polyarteritis nodosa in a 71-year-old patient admitted to the hospital for a febrile acute polyarthritis with pitting edema of the hands associated with a marked inflammatory syndrome. On second day of hospitalization, a sustained chest pain led to the diagnosis of myopericarditis. Muscular biopsy showed necrotizing vasculitis, characteristic of polyarteritis nodosa. The coexistence of RS3PE and myopericarditis has never been described in the literature. Its association with polyarteritis nodosa is also very rare and only one case has been previously reported.
Poyet
R
R
Service de cardiologie et maladies vasculaires, hôpital d'instruction des armées Sainte-Anne, 83800 Toulon-Naval, France. raphael.poyet@caramail.com
Kerebel
S
S
Landais
C
C
Aletti
M
M
Graffin
B
B
Paris
J-F
JF
Carli
P
P