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

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References in periodicals archive

A multicenter study of clinical and laboratory findings of palindromic rheumatism in Iran.

Palindromic rheumatism: an unusual cause of the inflammatory joint.

Palindromic rheumatism: a descriptive report of seven cases from North Dakota and a short review of literature.

Palindromic rheumatism-like migratory non-erosive seronegative polyarthritis in a patient with metastatic conjunctival malignant melanoma

"Even though palindromic rheumatism has long been identified, very little research has been done in this area.

It's clear that a lack of research and evidence-based knowledge has given people with palindromic rheumatism a very raw deal.

We hope this research will help to counter the lack of awareness, knowledge, information and understanding that people with palindromic rheumatism face on a daily basis."

Investigation of 'devastating' palindromic rheumatism