Abstract
Objective To analyze clinical features in palindromic rheumatism(PR).Methods To collect clinical data of 22 PR cases with more complete information,and analyze their clinical characteristics.Results In 22 enrolled patients aged 21 ～47 years old,13 patients were male and 9 patients were female.All patients mainly had localized red,swollen,hot,and with painful in the involved joints or periarticular soft tissues.The symptoms could be self relieved after 2 ～ 7 days or relieved after taking non-steroidal anti-inflammatory drugs(NSAIDs),but appeared repeatedly.73%(16/22)of the patients showed that the interval time between attacks was gradually decreasing.General performance was rare.Most laboratory tests were normal,but appeared low titer of antinuclear antibody(ANA) and rheumatoid factor(RF) positive occasionally.Conclusion If the inflammation in or around the joint appearing repeatedly,the symptoms being self improved in short-term or sensitive to NSAIDs,appearing repeatedly without joint deformity nor bone destruction,and autoantibodies being negative in laboratory tests,it should be first considered the diagnosis of PR. Key words: Palindromic Rheumatism; Arthritis; Diagnosis
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