Ultrasound of small joints as a key to diagnosis. A case report of a edematous Swelling of the forearm and hand for several month: RS3PE-Syndrom

A 65- year old man with a persistent Swelling of the whole right forearm including the hand and fingers due to lymphostasis since 6 month was admitted to the out-patient clinic of our Rheumatology department. A previous consultation in the clinic of Angiology, Neurology, Oncology and Orthopedics concluded without diagnosis in their fields. The major clinical complaints were an increasing handicap of the right arm, a reduced degree of mobility accompanied by little to moderate tenderness and pain of the hand during hand work. The specific medical history revealed an incomplete closing of the fist in the morning f…