PMID- 22089392 OWN - NLM STAT- MEDLINE DCOM- 20130108 LR - 20161020 IS - 1439-7609 (Electronic) IS - 1439-7595 (Linking) VI - 22 IP - 4 DP - 2012 Aug TI - High serum matrix metalloproteinase 3 is characteristic of patients with paraneoplastic remitting seronegative symmetrical synovitis with pitting edema syndrome. PG - 584-8 LID - 10.1007/s10165-011-0556-y [doi] AB - Recently, it was reported that remitting seronegative symmetrical synovitis with pitting edema (RS3PE) syndrome could be complicated with solid tumors. In a retrospective, multicenter study between October, 2003 and September, 2010, we investigated the characteristics of patients with paraneoplastic RS3PE syndrome who fulfilled following criteria: (1) bilateral pitting edema of hands or feet or both, (2) sudden onset of polyarthritis, and (3) age >50 years, (4) seronegativity for rheumatoid factor (RF). A total of 33 cases fulfilled the above criteria. Eight patients (seven men and one woman) developed cancer within 2 years of RS3PE syndrome onset. There was no significant difference between the neoplastic and nonneoplastic groups in the proportions of patients with fever, symmetrical polyarthritis, pitting edema, and good response to corticosteroids. Serum matrix metalloproteinase 3 (MMP-3) level (median 437.3 ng/ml) in the paraneoplastic RS3PE patients was significantly higher than that in patients without neoplasia (median 114.7 ng/ml) (p < 0.05). We found that high serum MMP-3 is characteristic of patients with paraneoplastic RS3PE syndrome. FAU - Origuchi, Tomoki AU - Origuchi T AD - Department of Rehabilitation Sciences, Graduate School of Biomedical Sciences, Nagasaki University, 1-7-1 Sakamoto, Nagasaki, 852-8520, Japan. origuchi@nagasaki-u.ac.jp FAU - Arima, Kazuhiko AU - Arima K FAU - Kawashiri, Shin-Ya AU - Kawashiri SY FAU - Tamai, Mami AU - Tamai M FAU - Yamasaki, Satoshi AU - Yamasaki S FAU - Nakamura, Hideki AU - Nakamura H FAU - Tsukada, Toshiaki AU - Tsukada T FAU - Aramaki, Toshiyuki AU - Aramaki T FAU - Furuyama, Masako AU - Furuyama M FAU - Miyashita, Taiichiro AU - Miyashita T FAU - Kawabe, Yojiro AU - Kawabe Y FAU - Iwanaga, Nozomi AU - Iwanaga N FAU - Terada, Kaoru AU - Terada K FAU - Ueki, Yukitaka AU - Ueki Y FAU - Fukuda, Takaaki AU - Fukuda T FAU - Eguchi, Katsumi AU - Eguchi K FAU - Kawakami, Atsushi AU - Kawakami A LA - eng PT - Journal Article PT - Multicenter Study DEP - 20111117 PL - England TA - Mod Rheumatol JT - Modern rheumatology JID - 100959226 RN - 0 (Biomarkers) RN - 9009-79-4 (Rheumatoid Factor) RN - EC 3.4.24.17 (MMP3 protein, human) RN - EC 3.4.24.17 (Matrix Metalloproteinase 3) SB - IM MH - Aged MH - Aged, 80 and over MH - Arthritis/blood/complications/diagnosis MH - Biomarkers/blood MH - Edema/*blood/complications/diagnosis MH - Extremities MH - Female MH - Humans MH - Male MH - Matrix Metalloproteinase 3/*blood MH - Paraneoplastic Syndromes/*blood/complications/diagnosis MH - Retrospective Studies MH - Rheumatoid Factor/blood MH - Serologic Tests MH - Synovitis/*blood/complications/diagnosis EDAT- 2011/11/18 06:00 MHDA- 2013/01/09 06:00 CRDT- 2011/11/18 06:00 PHST- 2011/08/04 00:00 [received] PHST- 2011/10/31 00:00 [accepted] PHST- 2011/11/18 06:00 [entrez] PHST- 2011/11/18 06:00 [pubmed] PHST- 2013/01/09 06:00 [medline] AID - 10.1007/s10165-011-0556-y [doi] PST - ppublish SO - Mod Rheumatol. 2012 Aug;22(4):584-8. doi: 10.1007/s10165-011-0556-y. Epub 2011 Nov 17.