缓解性血清阴性和对称性滑膜炎伴点状水肿 (RS3PE) 患者的常见并发症。

IF 1 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL Southern Medical Journal Pub Date : 2024-05-01 DOI:10.14423/SMJ.0000000000001679
Elmira Esmaeilzadeh, Christopher R Morris
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引用次数: 0

摘要

目的:缓解性血清阴性对称性滑膜炎伴点状水肿(RS3PE)被认为是一种罕见的炎症性风湿病,主要见于老年男性。患者表现为大关节的关节痛,并伴有手足疼痛性点水肿。很少有研究报道这些患者中糖尿病和高脂血症等代谢综合征的发病率:本系列病例回顾了在一家私人门诊被诊断为 RS3PE 的 25 名患者:结果:近一半的患者(48%)患有糖尿病,主要是 2 型糖尿病,超过一半的患者(60%)患有高脂血症:我们认为,今后对 RS3PE 的病例研究应包括对这种自身炎症性疾病患者可能出现的各种合并症的评估。随着肌肉骨骼超声技术的普及,我们有可能将这种疾病与其他炎症性关节炎区分开来,从而更好地做出正确诊断。
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Common Comorbidities in Patients with Remitting Seronegative and Symmetrical Synovitis with Pitting Edema (RS3PE).

Objectives: Remitting seronegative symmetrical synovitis with pitting edema (RS3PE) is considered a rare inflammatory rheumatologic disorder that is seen primarily in older adult men. Patients present with arthralgias of large joints accompanied by painful pitting edema of the hands and feet. Few studies have reported the prevalence of metabolic syndromes, including diabetes mellitus and hyperlipidemia in these patients.

Methods: This case series reviewed 25 patients who were diagnosed as having RS3PE in a private outpatient clinic.

Results: Nearly half of the patients (48%) had diabetes mellitus, predominantly type 2, and more than half of the patients (60%) had hyperlipidemia.

Conclusions: We believe that future case studies on RS3PE should include an assessment of various comorbidities that can be seen in patients with this autoinflammatory disorder. The increased availability of musculoskeletal ultrasound provides a potential area of study to differentiate this disorder from other inflammatory arthritis and improve reaching the correct diagnosis.

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来源期刊
Southern Medical Journal
Southern Medical Journal 医学-医学:内科
CiteScore
1.40
自引率
9.10%
发文量
222
审稿时长
4-8 weeks
期刊介绍: As the official journal of the Birmingham, Alabama-based Southern Medical Association (SMA), the Southern Medical Journal (SMJ) has for more than 100 years provided the latest clinical information in areas that affect patients'' daily lives. Now delivered to individuals exclusively online, the SMJ has a multidisciplinary focus that covers a broad range of topics relevant to physicians and other healthcare specialists in all relevant aspects of the profession, including medicine and medical specialties, surgery and surgery specialties; child and maternal health; mental health; emergency and disaster medicine; public health and environmental medicine; bioethics and medical education; and quality health care, patient safety, and best practices. Each month, articles span the spectrum of medical topics, providing timely, up-to-the-minute information for both primary care physicians and specialists. Contributors include leaders in the healthcare field from across the country and around the world. The SMJ enables physicians to provide the best possible care to patients in this age of rapidly changing modern medicine.
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