Remitting Seronegative Symmetrical Synovitis with Pitting Edema症候群の1例

Remitting Seronegative Symmetrical Synovitis with Pitting Edema Syndrome. Case Report

　84歳，女性のremitting seronegative symmetrical synovitis with pitting edemaの1例を報告する．初診時には急速に発来した両手の浮腫があったが，1カ月後には両足の浮腫が出現した．血清反応はRAPAも抗CCP抗体ともに陰性であった．炎症所見と浮腫は漸次消褪し，予測した通り完全に消失した．この症例の特徴的な点は両手・両足の浮腫が同期出現でなかったことである．

　The case of an 84-year-old woman with remitting seronegative symmetrical synovitis and pitting edema syndrome is described.　The patient initially presented with acute onset of pitting edema of both hands, and one month later developed pitting edema of both feet.　Serum tests for RAPA and CCP antibody were both negative.　The clinical and laboratory signs of inflammation and edema gradually resolved, and there was a complete remission, as predicted.　The characteristic feature of this case is the asynchronous onset of edema of the hands and of the feet.