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Revista Colombiana de Reumatología
Print version ISSN 0121-8123
Abstract
RONDON-CARVAJAL, Julián; FIGUEROA LEMUS, Wilmer Javier and MUNOZ-VELANDIA, Óscar Mauricio. Remitting seronegative symmetrical synovitis with pitting oedema as a paraneoplastic manifestation of mesothelioma: A case report and review of the literature. Rev.Colomb.Reumatol. [online]. 2020, vol.27, n.2, pp.116-119. Epub Apr 22, 2021. ISSN 0121-8123. https://doi.org/10.1016/j.rcreu.2019.02.004.
Remitting seronegative symmetrical synovitis with pitting oedema (RS3PO) was described by McCarty (1985), as a benign form of rheumatoid arthritis that onset in men older than 70 years (80% of cases), with symmetrical and associated involvement of oedema of hands and feet. The approach of acute polyarthritis in the elderly should include the RS3PO syndrome, where poor steroid response and multisystem involvement oriented towards paraneoplastic nature, mainly with solid tumours (gastric and pancreatic adenocarcinoma), lymphomas and leukaemia. The case is presented of a patient with RS3PO as a paraneoplastic manifestation of mesothelioma, which is rare in this type of tumour.
Keywords : RS3PO; Synovitis; Elderly; Paraneoplastic syndromes Mesothelioma.