title: Unilateral RS3PE in a Patient of Seronegative Rheumatoid Arthritis.
abstract: 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.
authors: Division of Rheumatology, Department of General Medicine, Institute of Medical Sciences, Banaras Hindu University, Varanasi 221005, India.
authors: Ankur Nandan
authors: AN
authors: Varshney
authors: Nilesh
authors: N
authors: Kumar
authors: Ashutosh
authors: A
authors: Tiwari
authors: Ravi
authors: R
authors: Anand
authors: Sashi Ranjan
authors: SR
authors: Prasad
authors: Arvind
authors: A
authors: Anand
authors: Abhinandan
authors: A
authors: Mishra
authors: N K
authors: NK
authors: Singh
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