Salam Abdul, Henry Rafik, Sheeran Tom
Department of Geriatric Medicine, Good Hope Hospital, Rectory Road, Sutton Coldfield, UK.
Cases J. 2008 Aug 29;1(1):132. doi: 10.1186/1757-1626-1-132.
Remitting Seronegative Symmetrical Synovitis with Pitting oedema syndrome, a rare inflammatory arthritis, commonly affects people in the older age group. It can present as an acute onset polyarthritis with associated pitting oedema of the extremities. Patients show excellent response to low dose steroids with complete and sustained remissions. It can also be a paraneoplastic manifestation of an underlying occult malignancy, hence thorough clinical evaluation is warranted.We discuss a case of Remitting Seronegative Symmetrical Synovitis with pitting oedema syndrome where the patient presented with acute onset polyarthritis and pitting oedema of the extremities without an underlying systemic cause. Patient showed dramatic response to low dose steroids.
缓解性血清阴性对称性滑膜炎伴凹陷性水肿综合征，一种罕见的炎性关节炎，通常影响老年人群体。它可表现为急性起病的多关节炎并伴有四肢凹陷性水肿。患者对低剂量类固醇治疗反应良好，可实现完全且持续的缓解。它也可能是潜在隐匿性恶性肿瘤的副肿瘤表现，因此有必要进行全面的临床评估。我们讨论一例缓解性血清阴性对称性滑膜炎伴凹陷性水肿综合征病例，该患者表现为急性起病的多关节炎和四肢凹陷性水肿，无潜在的全身性病因。患者对低剂量类固醇治疗反应显著。
