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Remitting seronegative symmetrical synovitis with pitting edema: a review
  1. Mounika Lakhmalla1,
  2. Dushyant Singh Dahiya2,
  3. Asim Kichloo3,4,
  4. Tehreem Fatima5,
  5. Ehizogie Edigin6,
  6. Farah Wani7
  1. 1 Department of Internal Medicine, Johns Hopkins, Baltimore, Maryland, USA
  2. 2 Internal Medicine, Central Michigan University, Saginaw, Michigan, USA
  3. 3 Department of Internal Medicine, Central Michigan University, Mount Pleasant, Michigan, USA
  4. 4 Department of Internal Medicine, Samaritan Medical Center, Watertown, New York, USA
  5. 5 Department of Medicine, California Institute of Behavioral Neurosciences and Psychology, Fairfield, California, USA
  6. 6 Department of Medicine, John H Stroger Hospital of Cook County, Chicago, Illinois, USA
  7. 7 Department of Family Medicine, Samaritan Medical Center, Watertown, New York, USA
  1. Correspondence to Dr Asim Kichloo, Samaritan Medical Center, Watertown, New York 13601, USA; kichlooasim{at}gmail.com

Abstract

Remitting seronegative symmetrical synovitis with pitting edema (RS3PE) is a rare benign rheumatological condition characterized by sudden-onset symmetrical distal extremity edema. It can present as an isolated disease process or could be associated with other conditions. Rheumatoid factor and anticitrullinated protein antibodies are negative by definition. In current literature, there is paucity of data about the disease process. We performed a literature search using the PubMed database to identify 38 articles that met our inclusion and exclusion criteria. Our literature review focuses on the clinical picture and its diverse associations. Role of various acute phase reactants has also been outlined. There is a generalized consensus among clinicians on using moderate dose steroids for treatment. Other management options for refractory cases have also discussed. Value of several imaging modalities in diagnostic evaluation of this disease entity is touched on. Since RS3PE can be associated with other diseases, specifically cancer, timely diagnosis of this condition is necessary.

  • Remitting seronegative symmetrical synovitis
  • RS3PE

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Footnotes

  • Contributors All authors have contributed to the manuscript and agree with the final version of the manuscript. ML, DSD and AK are credited with substantial contribution to the design of the work, literature review of all the sections discussed, the revision of critically important intellectual content, final approval of the published version and agreement of accountability for all aspects of the work. TF is credited with significant design of the figures and graphs, literature review of all sections, revision of important intellectual content for the discussion, and agreement of accountability for all parts of the work. EE and FW are credited with literature review, initial content write up and agreement of accountability for all aspects of the work.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Ethics approval Our institution does not require ethical approval for reviews.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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