SteroidTreatment of Remitting Seronegative Symmetrical Synovitis with Pitting Edema Syndrome Complicated by Pleural Effusion : A Case Report - Collections | Kyushu University Library

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SteroidTreatment of Remitting Seronegative Symmetrical Synovitis with Pitting Edema Syndrome Complicated by Pleural Effusion : A Case Report

Creator	Creator Name Horai, Yoshiro 寶來, 吉朗ホウライ, ヨシロウ Affiliation Affiliation Name Department of General and Internal Medicine, Rheumatology, Clinical research Center, National Hospital Organization Nagasaki Medical Center 国立病院機構長崎医療センター総合診療科・リウマチ科・臨床研究センター
	Creator Name Matsuo, Yuriko 松尾, 友里子マツオ, ユリコ Affiliation Affiliation Name Department of General and Internal Medicine, Rheumatology, Clinical research Center, National Hospital Organization, Nagasaki Medical Center 国立病院機構長崎医療センター総合診療科・リウマチ科・臨床研究センター
	Creator Name Takemoto, Shinnosuke 竹本, 真之輔タケモト, シンノスケ Affiliation Affiliation Name Department of Respiratory Medicine, National Hospital Organization, Nagasaki Medical Center 国立病院機構長崎医療センター呼吸器内科
	Creator Name Iwanaga, Nozomi 岩永, 希イワナガ, ノゾミ Affiliation Affiliation Name Department of General and Internal Medicine, Rheumatology, Clinical research Center, National Hospital Organization, Nagasaki Medical Center 国立病院機構長崎医療センター総合診療科・リウマチ科・臨床研究センター
	Creator Name Izumi, Yasumori 和泉, 泰衛イズミ, ヤスモリ Affiliation Affiliation Name Department of General and Internal Medicine, Rheumatology, Clinical research Center, National Hospital Organization, Nagasaki Medical Center 国立病院機構長崎医療センター総合診療科・リウマチ科・臨床研究センター
Language	English
Publisher	福岡医学会
Publisher	Fukuoka Medical Association
Date	2017-09-25
Source Title	Fukuoka Acta Medica
Vol	108
Issue	8/9
First Page	217
Last Page	222
Publication Type	Version of Record
Access Rights	open access
JaLC DOI	https://doi.org/10.15017/1911191
Abstract	We report the case of an adult male patient with seronegative remitting symmetrical synovitis with pitting edema (RS3PE) syndrome complicated by pleural effusion (PE). No malignancy was found, and ant...ibiotics did not improve PE satisfactorily ; thus, the patient was initiated on prednisolone, a known effective treatment for RS3PE syndrome, which alleviated not only the symptoms in extremities but also the PE. Although PE associated with RS3PE syndrome is rare, clinicians should be cognizant of PE as a potential complication of RS3PE syndrome, which might be alleviated with steroid therapy. 症例は60 歳代，男性．四肢末端の浮腫及び関節痛を生じ当科紹介受診．労作時呼吸困難と胸部画像所見での右側胸水も認めていた．急性の発症様式，滑膜炎症状，リウマトイド因子陰性，X 線上骨びらんを認めないことからRS3PE 症候群と診断．画像所見上異型肺炎の合併も否定できず，抗菌薬の投与を先行して行ったものの，胸水はわずかに減少したのち再度の増加を認めた．悪性腫瘍など，胸水の原因となりうる他の疾患を認めなかったため，RS3PE 症候群に関連した胸水と判断しプレドニゾロン（PSL）15 mg/日の投与を開始した．開始後速やかな四肢末端症状と胸水の改善を認め，PSL減量後も再燃は認めなかった．胸水はRS3PE 症候群における稀な合併症であるが，感染症や悪性腫瘍等他の原因が否定的である場合には，四肢症状のみならず胸水に対してもステロイド治療が有効である可能性を考慮し治療を試みることも選択肢として考えられる.show more

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Details

PISSN	0016-254X
NCID	AN00215478
Record ID	1911191
Peer-Reviewed	Refereed
Subject Terms	pleural effusion
	remitting seronegative symmetrical synovitis with pitting edema syndrome
	steroid
	胸水
	RS3PE 症候群
	ステロイド
Type	Case Report
Type	症例
Created Date	2018.03.23
Modified Date	2021.03.03