A Patient with Severe Palindromic Rheumatism and Frequent Episodes of Pain

Shingo Takata, Seishi Harada, Fumihiro Mitsunobu, Takashi Mifune, Yasuhiro Hosaki, Kozo Asida, Hirofumi Tsugeno, Makoto Okamoto, Mitsuhiro Iwahashi, Masanori Kawashima, Masahiro Yamamura, Hirofumi Makino, Yoshiro Tanizaki

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)


A 44-year-old man began to experience episodes of joint pain with erythema in his knees, elbows, shoulders, and hands in April 1996. He was diagnosed as having palindromic rheumatism. Due to the increasing frequency and severity of these episodes, he was admitted to our hospital in May 1999. Heat therapy to the affected area produced a rapid improvement in symptoms. In addition, the continued use of physical therapy during symptom-free periods tended to reduce the frequency and severity of pain attacks. We present this case and discuss treatment options in patients with palindromic rheumatism.

Original languageEnglish
Pages (from-to)140-143
Number of pages4
JournalInternal Medicine
Issue number2
Publication statusPublished - Feb 2001


  • HLA DR-4
  • Rheumatoid arthritis
  • Spa therapy
  • Vicious cycle
  • Warm compress

ASJC Scopus subject areas

  • Internal Medicine


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