Pratas, Edgar and Carvalho, João and Domingues, Isabel and Fonseca, João and Carvalho, Teresa and Sousa, Gabriela and Veríssimo, Manuel Teixeira (2018) Remitting Seronegative Symmetrical Synovitis with Pitting Oedema as the First Manifestation of an Adenocarcinoma of the Caecum. European Journal of Case Reports in Internal Medicine, 5 (12). ISSN 2284-2594
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Abstract
Remitting seronegative symmetrical synovitis with pitting oedema (RS3PE) is a rare syndrome that affects the elderly. Although the aetiology is not fully understood, it has been related to multiple diseases including cancer. We present the case of an 80-year-old man with a full spectrum of signs and symptoms compatible with RS3PE: sudden onset of bilateral polyarthralgia of the metacarpophalangeal and proximal interphalangeal joints, oedema of the dorsum of the hands, increased inflammatory markers and seronegative rheumatoid factor. After a 5-day course of corticotherapy, the patient became asymptomatic although maintaining a mild anaemia. During a search for the underlying cause of the RS3PE, an early stage adenocarcinoma of the caecum was diagnosed and surgically removed. No further treatment was performed and after 3 years of follow-up the patient remains without evidence of either paraneoplastic RS3PE or cancer.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | RS3PE, paraneoplastic, adenocarcinoma, cecum |
| Subjects: | 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale) |
| Depositing User: | Greta Di Blasio |
| Date Deposited: | 10 Jun 2019 16:18 |
| Last Modified: | 10 Jun 2019 16:18 |
| URI: | http://eprints.bice.rm.cnr.it/id/eprint/18809 |
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