palindromic rheumatism


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rheumatism

 [roo´mah-tizm]
popular but indefinite term for any of a variety of disorders marked by inflammation, degeneration, or metabolic derangement of connective tissue structures (especially joints and related structures), with pain, stiffness, or limitation of motion; it includes such disorders as arthritis, osteoarthritis, bursitis, and sciatica.
desert rheumatism the primary form of coccidioidomycosis.
muscular rheumatism fibrositis.
palindromic rheumatism repeated attacks of arthritis and periarthritis without fever and without causing irreversible joint changes.

palindromic rheumatism

A form of monoarthritis that may precede rheumatoid arthritis.
 
Clinical findings
Intermittent recurring episodes (> 5 attacks in 2 years) of intense gout-like pain, swelling and transient joint inflammation, which often disappear by the time the patient sees the doctor. More common in middle-aged men, it affects the knee, wrist or dorsum of hand and is accompanied by transient subcutaneous nodules. Although the condition is distinct between patients, each attack tends to follow the same pattern in the individual patient.

Lab
Nonspecific increase in erythrocyte sedimentation rate and acute-phase reactants.
 
Prognosis
15% disappear; half continue as palindromic rheumatism, one-third evolve to seropositive rheumatoid arthritis.

palindromic rheumatism

A form of monoarthritis that may precede rheumatoid arthritis Clinical Intermittent recurring–> 5 attacks in 2 yrs episodes of intense gout-like pain and joint inflammation, more common in middle-aged men, affecting the knee, wrist or dorsum of hand, accompanied by transient subcutaneous nodules; although the condition is distinct between Pts, each attack tends to follow the same pattern in the individual Pt Lab Nonspecific ↑ ESR and acute phase reactants

palindromic rheumatism

Intermittent migrating joint pain with tenderness, heat, and swelling that lasts from a few hours to as long as a week. The knee is most often involved, but each recurrence often involves a different joint. Between attacks there is no evidence of joint disease. The cause is unknown, and there is no specific treatment.
See also: rheumatism