Reumatismo palindrómico (Enfermedad de Hench Rosemberg): Caso clínico con respuesta a los glucocorticoides

Bárbara C Finn,Julio E Bruetman,Geofredo Earsman,Juan C Barreira,Damián Duartes Noe,Pablo Young,Hugo Laborde

doi:10.4067/s0034-98872010000700010

Bárbara C Finn, Julio E Bruetman + Show 5 more

Open Access

https://doi.org/10.4067/s0034-98872010000700010

Copy DOI

Abstract

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.

Highlights

Palindromic rheumatism is characterized by multiple recurrent episodes of arthritis and periarthritis 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
The patient was admitted due to arthritis and periarthritis of both wrists, knees, ankles, elbows and hands. He presented with fever (38-39o C), intense articular pain and anorexia

Summary

Introduction

Las enfermedades articulares inflamatorias de curso episódico recurrente son una causa habitual de consulta, como sucede con las artritis por cristales y las artritis reactivas y mucho menos frecuente los síndromes periódicos, como la fiebre mediterránea familiar o las artropatías idiopáticas intermitentes, entre las que se cuenta el reumatismo palindrómico. El reumatismo palindrómico (RP) es una rara entidad caracterizada por episodios recurrentes de mono u oligoartritis, asociados a periartritis, sin fiebre, de curso autolimitado, que no deja secuelas y responde rápidamente con anti-inflamatorios no esteroidales (AINEs).

Results

Conclusion