Unilateral RS3PE in a Patient of Seronegative Rheumatoid Arthritis. (10th April 2013)

• Record Type: Journal Article
• Authors: Varshney, Ankur Nandan; Kumar, Nilesh; Tiwari, Ashutosh; Anand, Ravi; Prasad, Sashi Ranjan; Anand, Arvind; Mishra, Abhinandan; Singh, N. K.
• Other Names: Hsu T. C. Academic Editor.; Hunt M. A. Academic Editor.; Makaritsis K. P. Academic Editor.; Zoli A. Academic Editor.
• Is Part Of: Case reports in rheumatology. Volume 2013(2013)
• Publication Date: 2013-04-10
• Subjects: Rheumatology -- Periodicals; Rheumatology -- Case studies -- Periodicals; Rheumatic Diseases; Connective Tissue Diseases; Rheumatology; Periodicals; Electronic journals; Case studies; Periodicals; 616.723
• DOI: 10.1155/2013/923797
• Languages: English
• ISSNs: 2090-6889

Abstract

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.