Rheumatology

Your Article Summary

See Latest Articles

RS₃PE presenting in a unilateral pattern: Case report and review of the literature
Seminars in Arthritis and Rheumatism, 11/24/08

Keenan RT et al. – Although remitting seronegative symmetrical synovitis with pitting edema (RS₃PE) is almost always a symmetric disease of the upper extremities, it may rarely present in a unilateral fashion, suggesting a role for neural and possibly other local factors in the genesis/modulation of the onset or maintenance of the disease.

• Study to review the clinical features and pathophysiologic implications of RS₃PE presenting in a unilateral manner
• An index case of unilateral RS₃PE was identified and characterized
• A systematic literature search to identify other reports of pts

• Index case: 76-yr-old male, cerebrovascular accident 25 yrs prior, developed a classic picture of RS₃PE accompanied by an elevated ESR, but only in the nonhemiparetic hand
• Condition responded rapidly to low-dose prednisone
• Literature search identified 5 other cases, including 2 presented only in the Italian or German literature
• 2/5 were in pts with preexisting neurologic disease, in which the neurologically affected side was spared
• 1 additional case initially presented as unilateral disease but rapidly progressed to bilaterality
• 2 cases presented in a fully unilateral manner despite no reported neurologic abnormalities on the unaffected sides

Today in Other Arthritis...keeping you current

Receive free subspecialty "5-minute updates" via email

Acute-onset sarcoidosis with polyarthralgia and hilar lymphadenopathy
Modern Rheumatology, 12/01/09

Cyclic AMP response element-binding protein is implicated in IL-6 production from arthritic synovial cells
Modern Rheumatology, 12/01/09

Early referral to the rheumatologist for early arthritis patients: evidence for suboptimal care. Results from the ESPOIR cohort
Rheumatology, 11/25/09

 See all of Other Arthritis