Oedematous polyarthritis and myopericarditis as presenting features of periarteritis nodosa

Remitting symmetrical seronegative synovitis with pitting edema (RS3PE) syndrome is a rare type of seronegative polyarthritis occurring in the elderly. It can be associated to various diseases. We report a case of RS3PE syndrome associated with myopericarditis, leading to the diagnosis of polyarteri...

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Bibliographic Details
Published in:La revue de medecine interne 2009-05, Vol.30 (5), p.453-455
Main Authors: Poyet, R, Kerebel, S, Landais, C, Aletti, M, Graffin, B, Paris, J-F, Carli, P
Format: Article
Language:fre
Subjects:
Aged
Arthritis - diagnosis
Arthritis - drug therapy
Arthritis - etiology
Chest Pain - etiology
Edema - diagnosis
Edema - drug therapy
Edema - etiology
Glucocorticoids - therapeutic use
Humans
Male
Myocarditis - diagnosis
Myocarditis - drug therapy
Myocarditis - etiology
Pericarditis - diagnosis
Pericarditis - drug therapy
Pericarditis - etiology
Polyarteritis Nodosa - complications
Polyarteritis Nodosa - diagnosis
Polyarteritis Nodosa - drug therapy
Syndrome
Treatment Outcome
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Summary:Remitting symmetrical seronegative synovitis with pitting edema (RS3PE) syndrome is a rare type of seronegative polyarthritis occurring in the elderly. It can be associated to various diseases. We report a case of RS3PE syndrome associated with myopericarditis, leading to the diagnosis of polyarteritis nodosa in a 71-year-old patient admitted to the hospital for a febrile acute polyarthritis with pitting edema of the hands associated with a marked inflammatory syndrome. On second day of hospitalization, a sustained chest pain led to the diagnosis of myopericarditis. Muscular biopsy showed necrotizing vasculitis, characteristic of polyarteritis nodosa. The coexistence of RS3PE and myopericarditis has never been described in the literature. Its association with polyarteritis nodosa is also very rare and only one case has been previously reported.
ISSN:0248-8663
1768-3122
DOI:10.1016/j.revmed.2008.07.011