Chaouat D, Belange G, Leparc J M
Service de Médecine Interne, Hôpital A.-de Rothschild, Paris.
Rev Rhum Mal Osteoartic. 1988 Nov;55(11):895-9.
Four retrospective cases of acute, benign, edematous polyarthritis are reported in elderly patients. These cases have in common a sudden onset of distal edema of the 4 extremities, which is severe, associated with primary or secondary joint pain and an inflammatory syndrome. A picture of symmetrical polyarthritis similar to rheumatoid polyarthritis develops secondarily. This polyarthritis is sero-negative. In less than 2 years, it spontaneously evolves into a complete cure without any clinical or radiological sequelae. This picture appears to be a specific entity in the elderly, different from rheumatoid polyarthritis. Ten identical cases have been reported by McCarty under the name of RS3PE syndrome. The onset with edema, sero-negativity and the spontaneous cure are the main characteristics. The nosology of this disease among "polyarthritis of the elderly", is discussed here.
报告了4例老年急性、良性、水肿性多关节炎的回顾性病例。这些病例的共同特点是四肢远端突然出现严重水肿，伴有原发性或继发性关节疼痛及炎症综合征。继而出现类似类风湿性多关节炎的对称性多关节炎表现。这种多关节炎血清学阴性。在不到2年的时间里，它可自发完全治愈，无任何临床或放射学后遗症。这种表现似乎是老年人中的一种特殊病症，不同于类风湿性多关节炎。麦卡蒂曾以RS3PE综合征之名报告过10例相同病例。水肿起病、血清学阴性及自发治愈是其主要特征。本文讨论了这种疾病在“老年多关节炎”中的分类学。
