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recurrent rheumatism

How is palindromic rheumatism diagnosed?

How is palindromic rheumatism diagnosed?

There is no specific test for the condition, so doctors usually diagnose palindromic rheumatism based on symptoms. Diagnosis will include an assessment of medical history and a physical examination. A doctor will assess the physical symptoms and may test the mobility of any affected joints.

recurrent rheumatism

Relapsing arthritis syndrome was described by Hans and Rosenberg in 1944. Recurrent rheumatoid arthritis affects men and women approximately equally, and appears as episodes of arthritis or inflammation of the soft tissues surrounding the joints.

In general, the number of seizures is more than 2-3 per year. The seizure occurs suddenly, usually in one joint. The seizure lasts from hours to a few days.

Symptoms of recurrent rheumatism

The seizure occurs suddenly and is usually in one joint. The attack lasts from hours to a few days, and is characterized by the following symptoms: pain, swelling and redness without raising body temperature.

During an attack, the ESR may rise slightly to moderately. Some patients may develop lumps under the skin along the tendons, mainly in the hands, whose shape and composition are similar to those seen in the microscope, that of lumps that appear in patients with classic rheumatoid arthritis.

Diagnosis of recurrent rheumatism

During an attack, your ESR may rise slightly to moderately. Some patients may develop lumps under the skin along the tendons, mainly in the hands, whose shape and composition are similar to those seen in the microscope, that of lumps that appear in patients with classic rheumatoid arthritis.

When a biopsy of the joint tissues is taken and examined, infiltration (infiltration) of cells characteristic of acute inflammation ( mononucleosis ) is detected .

It is important to mention that, despite acute attacks, permanent damage does not occur, and there is no limitation of range of motion, nor even permanent joint deformities. They appear intact on radiographs. Similar diseases such as gout , chondrocalcinosis and familial Mediterranean fever must be excluded before the diagnosis of relapsing arthritis can be confirmed, because of the similarity between the nature of the attacks in relapsing arthritis and the attacks that occur in Other inflammatory joint diseases.

In half of patients with relapsing arthritis, serum has been found to have a rheumatoid factor characteristic of classical rheumatoid arthritis; However, in only five to one third of patients with relapsing arthritis, the condition develops into chronic rheumatoid arthritis, within 5-10 years of disease onset.

Certain studies have shown that genetic characteristics that increase the risk of developing rheumatoid arthritis, such as HLA-DRB1-0401, are higher in people with relapsing arthritis than in people who are healthy. A small proportion of patients with relapsing arthritis develop other chronic inflammatory diseases, such as lupus erythematosus (lupus), and about 15% make a complete recovery.

Recurrent rheumatism treatment

Treatment for relapsing rheumatism includes giving anti-inflammatory drugs at the time of the attack. Drugs used to treat rheumatoid arthritis as a permanent treatment, such as gold injections, the antimalarial drugs, and D-Penicillamine, as well as drugs such as Colchicine, Sulfasalazine, Dapsone and Chlorambucil, have been tried. The success of treatment with these drugs in patients with relapsing arthritis is limited.

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