Three Cases of Palindromic Rheumatism

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In orthopedic department of Nagasaki Atomic Bomb Casualty Hospital, we had three cases of Palindromic rheumatism, and observed during five years from November 1966 to October 1970.Case 1, The patient was a 43-year-old housewife, case 2, the patient was a 38-year-old man and case 3 was a housewife aged 30.They were, similarly, complained pain attacks of fingers joint, toe joint, ankle joint and knee joint.The attacks lasted a few hours or a few days and then disapeared and yet after each attack the affected joint became "completely well every time".The swellings were ascribed either to intraarticular effusions or to nonpitting edema of periarticular tissues or to both. They were generally but not always painful, pain being moderette to agonizing.The affected joints were generally associated with red or cyanotic discoloration of the skin and with a subjective sensation of local heat.In all cases, the concentration of the blood uric acid was remained within a normal limit and the persistently negative roentgenograms.We report these cases that are seldom found in the literature.
西日本整形・災害外科学会の論文