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青少年缓解期血清阴性对称性滑膜炎伴凹陷性水肿

Remitting Seronegative Symmetrical Synovitis With Pitting Edema in an Adolescent.

作者信息

Baptista de Lima Joana, Zilhão Carla, Alves Sérgio

机构信息

Pediatrics, Centro Materno Infantil do Norte Albino Aroso, Centro Hospitalar Universitário do Porto, Porto, PRT.

Pediatric Rheumatology, Centro Materno Infantil do Norte Albino Aroso, Centro Hospitalar Universitário do Porto, Porto, PRT.

出版信息

Cureus. 2024 Feb 8;16(2):e53853. doi: 10.7759/cureus.53853. eCollection 2024 Feb.

Abstract

Remitting seronegative symmetrical synovitis with pitting edema (RS3PE) is a rare clinical entity characterized by symmetrical tenosynovitis of both hands and ankles with pitting edema, negative rheumatoid factor (RF), absence of radiographic erosions, and excellent response to low-dose steroids. It is classically associated with elderly patients but may occur in younger patients, with only one case reported in the pediatric age. We report a case of RS3PE diagnosed in a pediatric patient.

摘要

缓解性血清阴性对称性滑膜炎伴凹陷性水肿(RS3PE)是一种罕见的临床病症,其特征为双手和双踝对称性腱鞘炎伴凹陷性水肿、类风湿因子(RF)阴性、无影像学侵蚀表现,且对低剂量类固醇治疗反应良好。它典型地与老年患者相关,但也可能发生于年轻患者,儿科年龄组仅报道过1例。我们报告1例在儿科患者中诊断出的RS3PE病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/435d/10924661/9a599ee8522d/cureus-0016-00000053853-i01.jpg

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