SteroidTreatment of Remitting Seronegative Symmetrical Synovitis with Pitting Edema Syndrome Complicated by Pleural Effusion : A Case Report

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  • Horai Yoshiro
    Department of General and Internal Medicine, Rheumatology, Clinical research Center, National Hospital Organization Nagasaki Medical Center
  • Matsuo Yuriko
    Department of General and Internal Medicine, Rheumatology, Clinical research Center, National Hospital Organization, Nagasaki Medical Center
  • Takemoto Shinnosuke
    Department of Respiratory Medicine, National Hospital Organization, Nagasaki Medical Center
  • Iwanaga Nozomi
    Department of General and Internal Medicine, Rheumatology, Clinical research Center, National Hospital Organization, Nagasaki Medical Center
  • Izumi Yasumori
    Department of General and Internal Medicine, Rheumatology, Clinical research Center, National Hospital Organization, Nagasaki Medical Center

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Other Title
  • ステロイド投与により四肢症状と胸水の改善を認めたRS3PE症候群の1例

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Abstract

We report the case of an adult male patient with seronegative remitting symmetrical synovitis with pitting edema (RS3PE) syndrome complicated by pleural effusion (PE). No malignancy was found, and antibiotics did not improve PE satisfactorily ; thus, the patient was initiated on prednisolone, a known effective treatment for RS3PE syndrome, which alleviated not only the symptoms in extremities but also the PE. Although PE associated with RS3PE syndrome is rare, clinicians should be cognizant of PE as a potential complication of RS3PE syndrome, which might be alleviated with steroid therapy.

Journal

  • 福岡醫學雜誌

    福岡醫學雜誌 108 (8/9), 217-222, 2017-09-25

    Fukuoka Medical Association

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