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Remitting seronegative symmetrical synovitis with pitting edema
1Section of Rheumatology, Hospital Jose Maria Cullen, Santa Fe and Section of Rheumatology, Hospital Ignacio Pirovano, Buenos Aires.
Abstract:
We describe four patients who presented with seronegative inflammatory peripheral polyarthritis with pitting edema. All of these patients had spontaneous resolution of their disease over 9-18 months. None of them developed erosions or relapse after prolonged follow-up. Recognition of the features described may allow for conservative therapy with less toxic drugs.
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Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above the...