|Palindromic Rheumatism by drdoc on-line|
Palindromic Rheumatism describes a syndrome where there are recurrent episodes of pain swelling warmth and stiffness of joints.
The problem usually involves 2 or 3 joints, which have onset over hours and last days - weeks, before subsiding. However episodes of recurrence form a pattern, with symptom free periods between attacks lasting for weeks to months.
In 30-40 percent
however they become more frequent and may develop into Rheumatoid arthritis.
Similarly, Rheumatoid factor can become positive over years.
Constitutionally, the patient may or may not have a fever, and swelling of the joints.
Blood tests may
show an elevation of the ESR and CRP, but are otherwise unremarkable.
The therapy is difficult as the episodes are
transient and antiinflammatories are not very helpful.
to drdoc on-line homepage
Back to disease page
Go to Rheumatoid Arthritis page
Go to arthritis index page
Dr David Gotlieb
Revised Oct 2001