Rheumatism, Palindromic

Frequent recurring attacks at irregular intervals of acutely inflamed joints

In some patients, palindromic rheumatism is a prodrome of rheumatoid arthritis

Periarticular pain with swelling

Attacks cease within several hours to several days

Knee and fingers are most commonly affected, but any peripheral joint may be involved

Although hundreds of attacks may take place over a period of years, there is no permanent articular damage

Clinical

Laboratory findings are usually normal

Nonsteroidal anti-inflammatory drugs are usually all that is required during the attacks

Hydroxychloroquine may be of value in preventing recurrences