Synovitis with pitting edema as the presenting manifestation of systemic lupus erythematosus.
Rheumatologists are increasingly aware of the entity synovitis with pitting edema. The remitting seronegative symmetrical synovitis with pitting edema (RS3PE) syndrome has been reported with an array of conditions that include polymyalgia rheumatica, rheumatoid arthritis, Sjögren's syndrome and psoriatic arthropathy. Synovitis with pitting edema is now being increasingly recognized with systemic lupus erythematosus (SLE). We report a patient who presented with edema of hands and feet and was diagnosed eventually with definite SLE. With magnetic resonance imaging, joint effusions and tenosynovitis were confirmed to be associated with the otherwise-unexplained extremity edema.
Medical Department, Al Adan Hospital, Kuwait drosama02@gmail.com.
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Hegazi
Medical Department, Al Adan Hospital, Kuwait.
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Saleh
Rheumatology Division, Al Adan Hospital, Kuwait.
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Al Rashidi
Radiology Department, Al Adan Hospital, Kuwait.
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Yaktien
D002648:Child; D004487:Edema / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D005260:Female; D005528:Foot; D006225:Hand; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D008279:Magnetic Resonance Imaging; D013256:Steroids / Q000627:therapeutic use; D013585:Synovitis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D016896:Treatment Outcome
D013256:Steroids
Edema; lupus; pitting; synovitis