Table 3

Miscellaneous association of RS3PE

CaseTreatmentRecommendation
1RS3PE during course of toxic shock syndrome (TSS)SteroidsAn increase in serum VEGF due to
TSS might trigger RS3PE syndrome.
2Bilateral pleural and pericardial effusions during the course of the illness leading to respiratory failure and atrial fibrillationIntravenous methylprednisolone 1000 mg/day for 3 daysElevated VEGF and IL-6 may be associated with the underlying cause of pleural and pericardial effusions in this case.
3RS3PE associated with iliopsoas bursitisOral corticosteroidsIliopsoas bursitis in a patient with RS3PE syndrome may resemble an iliopsoas abscess on MRI.
4RS3PE with additional dermatological manifestationsPrednisoneAn increased awareness of RS3PE syndrome among dermatologists may be warranted.
5RS3PE after dipeptidyl peptidase-4
(DPP-4) inhibitor use
Discontinuation of the agent
Corticosteroids
Awareness of the association of RS3PE as an adverse effect of DPP-4 inhibitors is warranted.
6RS3PE with rifampicin useDiscontinuation of rifampicinA possible direct etiological link between rifampicin and RS3P may exist.
  • IL, interleukin; RS3PE, remitting seronegative symmetrical synovitis with pitting edema; VEGF, vascular endothelial growth factor.