fdg-pet/ct findings in a patient with polymyalgia rheumatica and accompanying remitting seronegative symmetrical synovitis with pitting edema
نویسندگان
چکیده
results fdg-pet/ct findings showed no evidence of malignant disease. there was diffusely increased fdg in soft tissue around the shoulders and hips and fdg-positive axillary lymph nodes consistent with pmr. background remitting seronegative symmetrical synovitis with pitting edema (rs3pe) is a rare, but well-defined syndrome comprising polyarthritis with symmetrical synovitis of the small joints in hands and feet accompanied by marked pitting edema. it is often considered a paraneoplastic syndrome, but here we report a case with f-18-fluorodeoxyglucose positron emission tomography/computed tomography (fdg-pet/ct) findings of polymyalgia rheumatica (pmr) in a patient with rs3pe and suspected of paraneoplastic syndrome. conclusions rs3pe and pmr may belong to the same clinical entity. fdg-pet/ct has a potential role in the management of pmr as well as other rheumatic diseases. objectives to briefly report the potential of fdg-pet/ct in rheumatic settings. methods an 83-year-old male with a history of prostate adenocarcinoma simultaneously with rs3pe presented with pain and stiffness of the shoulder and hip girdles to the department of rheumatology. he was anemic and had hypersedimentation of 106. he also complained of sore and swollen hands compatible with rs3pe. the patient had a previous course of rs3pe, presented as a paraneoplastic syndrome, together with his prostate cancer one year earlier, which resolved when the prostatic cancer was in remission. fdg-pet/ct was performed due to suspicion of repeat paraneoplastic syndrome.
منابع مشابه
Remitting seronegative symmetrical synovitis with pitting edema.
We describe four patients who presented with seronegative inflammatory peripheral polyarthritis with pitting edema. All of these patients had spontaneous resolution of their disease over 9-18 months. None of them developed erosions or relapse after prolonged follow-up. Recognition of the features described may allow for conservative therapy with less toxic drugs.
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BACKGROUND Remitting seronegative symmetrical synovitis with pitting edema (RS3PE) is a rare condition that occurs in elderly individuals. It can present alone or in association with various rheumatic or malignant diseases. CASE REPORT An 83-year-old man presented with anemia, hyper-sedimentation, and pitting edema of the back of the hands. The patient complained of pain and stiffness of the ...
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Remitting seronegative symmetrical synovitis with pitting edema (RS3PE) is a syndrome that may be associated with many conditions, including malignancy. Three further cases of paraneoplastic RS3PE are described and the literature is reviewed. Paraneoplastic RS3PE is more frequently associated with solid tumors, in particular adenocarcinoma. The two clinical characteristics suggestive of paraneo...
متن کاملRemitting seronegative symmetrical synovitis with pitting edema (RS3PE syndrome).
A 63-year-old man presented with acute symmetrical polysynovitis associated with pitting edema of both the hands and feet. He was seronegative for rheumatoid factor and no radiologically evident erosion was noted in the joints of his hands and feet. Evaluation excluded congestive heart failure, nephrotic syndrome, and hypothyroidism as the cause of edema. Treatment with nonsteroidal anti-inflam...
متن کاملRemitting seronegative symmetrical synovitis with pitting oedema
Remitting seronegative symmetrical synovitis with pitting oedema (RS3PE) is a rare rheumatologic condition frequently missed but easily treated. We describe a case of RS3PE and explore the literature surrounding this arthritis.
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عنوان ژورنال:
razavi international journal of medicineجلد ۴، شماره ۴، صفحات ۰-۰
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