Remitting seronegative symmetrical synovitis with pitting edema syndrome in maintenance hemodialysis
| Autor: | Kazuya Mikami, Atsuko Fujihara, Toru Matsugasumi, Seijiro Toriyama, Tsuneyuki Nakanouchi, Fumiya Hongo, Osamu Ukimura, Masatoshi Kadoya, Hidefumi Taniguchi, Takumi Shiraishi |
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| Rok vydání: | 2020 |
| Předmět: |
joint swelling and pain
musculoskeletal diseases medicine.medical_specialty RS3PE syndrome Remitting seronegative symmetrical synovitis with pitting edema Urology medicine.medical_treatment Case Report Case Reports lcsh:RC870-923 Gastroenterology Internal medicine Edema medicine Rheumatoid factor hemodialysis Tenosynovitis business.industry Amyloidosis lcsh:Diseases of the genitourinary system. Urology medicine.disease Prednisolone Hemodialysis medicine.symptom business Kidney disease medicine.drug |
| Zdroj: | IJU Case Reports IJU Case Reports, Vol 3, Iss 6, Pp 278-281 (2020) |
| ISSN: | 2577-171X |
| Popis: | Introduction The remitting seronegative symmetrical synovitis with pitting edema syndrome primarily occurs in elderly individuals to represent symptoms of edema, pain, and joint swelling. It could be misdiagnosed in elderly maintenance hemodialysis patients, as hemodialysis patients often present with pain and joint swelling induced by hypervolemia, inflammation, amyloidosis, and/or chronic kidney disease. Here, we describe a maintenance hemodialysis patient with remitting seronegative symmetrical synovitis with pitting edema syndrome. Case presentation A 71-year-old man on maintenance hemodialysis who complained of continuous pain and swelling of joints was diagnosed with remitting seronegative symmetrical synovitis with pitting edema syndrome on his clinical findings that revealed tenosynovitis at the joint without joint erosions and no elevation of anti-cyclic citrullinated peptide antibody and rheumatoid factor. After administration of prednisolone, systemic edema, and pain improved in 2 days. Conclusion Remitting seronegative symmetrical synovitis with pitting edema syndrome should be considered as a differential diagnosis in hemodialysis patients with edema and/or arthralgia. |
| Databáze: | OpenAIRE |
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