PMID- 29774220 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201001 IS - 2307-8960 (Print) IS - 2307-8960 (Electronic) IS - 2307-8960 (Linking) VI - 6 IP - 5 DP - 2018 May 16 TI - Serum matrix metalloproteinase 3 in detecting remitting seronegative symmetrical synovitis with pitting edema syndrome: A case report. PG - 84-87 LID - 10.12998/wjcc.v6.i5.84 [doi] AB - We report a case of remitting seronegative symmetrical synovitis with pitting edema (RS3PE) syndrome in a 71-year-old woman. She referred to our hospital with finger stiffness, edema of both hands and feet, pain of bilateral shoulder, wrist, metacarpophalangeal, proximal interphalangeal, and ankle joints. Rheumatoid factor was negative, human leukocyte antigen -B7 antigen was positive. Moreover, matrix metalloproteinase 3 (MMP-3) was high. She was diagnosed with RS3PE syndrome, and treatment with prednisolone (15 mg/d) was started. One week after prednisolone treatment initiation, CRP decreased to negative, and joint pain was almost completely resolved. However, hand stiffness persisted, and MMP-3 level was still high. Thus, prednisolone dose was increased to 20 mg/d, and the stiffness resolved. Twenty days after treatment initiation, MMP-3 was normalized. MMP-3 was more indicative of RS3PE syndrome symptoms than CRP. Thus, MMP-3 seems to be more sensitive to RS3PE syndrome symptoms. FAU - Kenzaka, Tsuneaki AU - Kenzaka T AD - Department of Internal Medicine, Hyogo Prefectural Kaibara Hospital, Hyogo 669-3395, Japan. FAU - Goda, Ken AU - Goda K AD - Department of Internal Medicine, Hyogo Prefectural Kaibara Hospital, Hyogo 669-3395, Japan. LA - eng PT - Case Reports PL - United States TA - World J Clin Cases JT - World journal of clinical cases JID - 101618806 PMC - PMC5955732 OTO - NOTNLM OT - Remitting seronegative symmetrical synovitis with pitting edema syndrome OT - Serum matrix metalloproteinase 3 COIS- Conflict-of-interest statement: The authors declare that they have no competing interests. EDAT- 2018/05/19 06:00 MHDA- 2018/05/19 06:01 PMCR- 2018/05/16 CRDT- 2018/05/19 06:00 PHST- 2017/12/22 00:00 [received] PHST- 2018/02/15 00:00 [revised] PHST- 2018/03/07 00:00 [accepted] PHST- 2018/05/19 06:00 [entrez] PHST- 2018/05/19 06:00 [pubmed] PHST- 2018/05/19 06:01 [medline] PHST- 2018/05/16 00:00 [pmc-release] AID - 10.12998/wjcc.v6.i5.84 [doi] PST - ppublish SO - World J Clin Cases. 2018 May 16;6(5):84-87. doi: 10.12998/wjcc.v6.i5.84.