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RS3PE Syndrome with Iliopsoas Bursitis Distinguished from an Iliopsoas Abscess Using a CT-guided Puncture


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Title: RS3PE Syndrome with Iliopsoas Bursitis Distinguished from an Iliopsoas Abscess Using a CT-guided Puncture
Authors: Fukui, Shoichi / Iwamoto, Naoki / Tsuji, Sosuke / Umeda, Masataka / Nishino, Ayako / Nakashima, Yoshikazu / Suzuki, Takahisa / Horai, Yoshiro / Koga, Tomohiro / Kawashiri, Shin-ya / Ichinose, Kunihiro / Hirai, Yasuko / Tamai, Mami / Nakamura, Hideki / Origuchi, Tomoki / Kawakami, Atsushi
Issue Date: 1-Jul-2015
Publisher: 日本内科学会 / Japanese Society of Internal Medicine
Citation: Internal Medicine, 54(13), pp.1653-1656; 2015
Abstract: A 55-year-old man was diagnosed with remitting seronegative symmetrical synovitis with pitting edema (RS3PE) syndrome. Contrast-enhanced computed tomography for cancer screening showed a mass with lowdensity centers with an enhanced rim in the left iliopsoas muscle. We suspected an iliopsoas abscess and performed computed-tomography-guided puncture of the mass. Both Gram staining and the culture of the fluid were negative. We diagnosed the patient with RS3PE syndrome with iliopsoas bursitis and administered lowdose corticosteroids without antibiotics. The symptoms, including left hip pain, quickly disappeared following treatment. Clinicians should be aware that iliopsoas bursitis may resemble an iliopsoas abscess. As a result, it is important to make an accurate differential diagnosis.
Keywords: Iliopectineal bursitis / Iliopsoas abscess / Iliopsoas bursitis / Polymyalgia rheumatic / Remitting seronegative symmetrical synovitis with pitting edema syndrome
URI: http://hdl.handle.net/10069/35730
ISSN: 09182918
DOI: 10.2169/internalmedicine.54.4874
Rights: © 2015 by The Japanese Society of Internal Medicine
Type: Journal Article
Text Version: publisher
Appears in Collections:Articles in academic journal

Citable URI : http://hdl.handle.net/10069/35730

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