Skip to main content

Advertisement

Log in

Magnetic resonance imaging of palindromic rheumatism

  • Case Report
  • Published:
Rheumatology International Aims and scope Submit manuscript

Abstract

A 44-year-old man with intermittent asymmetric migratory oligoarthritis lasting the recent decade was admitted to our hospital. Considerable specific biomarkers for rheumatoid arthritis such as anti-agalactosyl IgG antibody are all negative. He was diagnosed as palindromic rheumatism (PR). Although hand X-rays showed no remarkable findings, hand magnetic resonance imaging (MRI) detected pannus and bone erosion. PR is defined as the disease characterized by short-lasting attacks of acute oligoarthritis, without radiographic changes. To our knowledge, the findings of MRI for PR have not been previously described. We propose that MRI findings in patients with PR is useful tool to distinguish PR from rheumatoid arthritis (RA) or other RA related diseases.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  1. Hench PS, Rosenberg EF (1944) Palindromic rheumatism. Arch Intern Med 73:293–321

    Google Scholar 

  2. Sanmarti R, Canete JD, Salvador G (2004) Palindromic rheumatism and other relapsing arthritis. Best Pract Res Clin Rheumatol 18:647–661

    Article  PubMed  Google Scholar 

  3. Guerne PA, Weisman MH (1992) Palindromic rheumatism: part of or apart from the spectrum of rheumatoid arthritis. Am J Med 93:451–460

    Article  PubMed  CAS  Google Scholar 

  4. Gonzalez-Lopez L, Gamez-Nava JI, Jhangri GS, Ramos-Remus C, Russell AS, Suarez-Almazor ME (1999) Prognostic factors for the development of rheumatoid arthritis and other connective tissue diseases in patients with palindromic rheumatism. J Rheumatol 26:540–545

    PubMed  CAS  Google Scholar 

  5. Bizzaro N, Mazzanti G, Tonutti E, Villalta D, Tozzoli R (2001) Diagnostic accuracy of the anti-citrulline antibody assay for rheumatoid arthritis. Clin Chem 47:1089–1093

    PubMed  CAS  Google Scholar 

  6. Salvador G, Gomez A, Vinas O, Ercilla G, Canete JD, Munoz-Gomez J, Sanmarti R (2003) Prevalence and clinical significance of anti-cyclic citrullinated peptide and antikeratin antibodies in palindromic rheumatism. An abortive form of rheumatoid arthritis? Rheumatology 42:972–975

    Article  PubMed  CAS  Google Scholar 

  7. Fisher LR, Kirk A, Awad J, Festenstein H, Alonso A, Perry JD, Shipley M (1986) HLA antigens in palindromic rheumatism and palindromic onset rheumatoid arthritis. Br J Rheumatol 25:345–348

    Article  PubMed  CAS  Google Scholar 

  8. Wakefield RJ, O’Connor PJ, Conaghan PG, McGonagle D, Hensor EM, Gibbon WW, Brown C, Emery P (2007) Finger tendon disease in untreated early rheumatoid arthritis: a comparison of ultrasound and magnetic resonance imaging. Arthritis Rheum 57:1158–1164

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Taro Horino.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Ueda, S., Horino, T., Arii, K. et al. Magnetic resonance imaging of palindromic rheumatism. Rheumatol Int 29, 87–89 (2008). https://doi.org/10.1007/s00296-008-0654-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00296-008-0654-0

Keywords

Navigation