Rheumatology International

, Volume 29, Issue 1, pp 87–89 | Cite as

Magnetic resonance imaging of palindromic rheumatism

  • Satoko Ueda
  • Taro Horino
  • Kaoru Arii
  • Tatsuhito Morita
  • Toshihiro Takao
  • Kozo Hashimoto
Case Report

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.

Keywords

Palindromic rheumatism Anti-CCP antibody MRI HLA-DR4 

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Copyright information

© Springer-Verlag 2008

Authors and Affiliations

  • Satoko Ueda
    • 1
  • Taro Horino
    • 1
  • Kaoru Arii
    • 1
  • Tatsuhito Morita
    • 1
  • Toshihiro Takao
    • 2
  • Kozo Hashimoto
    • 1
  1. 1.Department of Endocrinology, Metabolism and NephrologyKochi Medical SchoolNankokuJapan
  2. 2.Division of Community Medicine, Department of Community NursingKochi Medical SchoolNankokuJapan

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