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palindromic rheumatism; Hench-Rosenberg syndrome; intermittent hydrarthrosis
Pathology:
- no joint damage after attacks
Clinical manifestations:
- sudden attacks of arthritis
- arthragia
- joint effeusion
- disability
- generally only one joint involved
- interval between recurrent attacks is variable
- duration of attacks is also variable
Laboratory:
- synovial fluid analysis generally normal
- ESR or serum CRP may be elevated
- rheumatoid factor & cyclic citrullinated peptide antibody may be elevated in a subset of patients likely to develop rheumatoid arthritis
Differential diagnosis:
- gout
- new onset rheumatoid arthritis
Complications:
- development of rheumatoid arthritis
Management:
- symtomatic
General
rheumatologic disease
References
- Wikipedia: Palindromic rheumatism
http://en.wikipedia.org/wiki/Palindromic_rheumatism