[Palindromic rheumatism. Report of one case].
Palindromic rheumatism is characterized by multiple recurrent episodes of arthritis and periarthritis (mono or oligoarticular) that may last hours or days, disappearing without sequels. We report a 69-year-old male with a history of hypertension and a presumptive diagnosis of gout due to recurrent episodes of arthritis and periarthritis in the last thirty years. They involved at least two joints, lasted few days and were self limited. The patient was admitted due to arthritis and periarthritis of both wrists, knees, ankles, elbows and hands. He presented with fever (38-39 degrees C), intense articular pain and anorexia. With a presumptive diagnosis of palindromic rheumatism and the lack of response to non steroidal anti inflammatory drugs, methylprednisolone 20 mg/od per os was started, with an excellent response.
Servicio de Clínica Médica, Hospital Británico, Buenos Aires, Argentina.
Barbara C
BC
Finn
Pablo
P
Young
Hugo
H
Laborde
Geofredo
G
Earsman
Damián Duartes
DD
Noe
Juan C
JC
Barreira
Julio E
JE
Bruetman
D000368:Aged; D001172:Arthritis, Rheumatoid / Q000188:drug therapy / Q000473:pathology; D003937:Diagnosis, Differential; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D008297:Male; D010489:Periarthritis / Q000188:drug therapy / Q000473:pathology*; D012008:Recurrence
D005938:Glucocorticoids