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

doi:10.2169/internalmedicine.40.140

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

Author information

Shingo TAKATA
the Division of Medicine, the Misasa Medical Branch, Okayama University Medical School
Seishi HARADA
the Division of Medicine, the Misasa Medical Branch, Okayama University Medical School
Fumihiro MITSUNOBU
the Division of Medicine, the Misasa Medical Branch, Okayama University Medical School
Takashi MIFUNE
the Division of Medicine, the Misasa Medical Branch, Okayama University Medical School
Yasuhiro HOSAKI
the Division of Medicine, the Misasa Medical Branch, Okayama University Medical School
Kozo ASIDA
the Division of Medicine, the Misasa Medical Branch, Okayama University Medical School
Hirofumi TSUGENO
the Division of Medicine, the Misasa Medical Branch, Okayama University Medical School
Makoto OKAMOTO
the Division of Medicine, the Misasa Medical Branch, Okayama University Medical School
Mitsuhiro IWAHASHI
the Department of Medicine III, Okayama University Medical School
Masanori KAWASHIMA
the Department of Medicine III, Okayama University Medical School
Masahiro YAMAMURA
the Department of Medicine III, Okayama University Medical School
Hirofumi MAKINO
the Department of Medicine III, Okayama University Medical School
Yoshiro TANIZAKI
the Division of Medicine, the Misasa Medical Branch, Okayama University Medical School

Keywords: rheumatoid arthritis, HLA DR-4, spa therapy, warm compress, vicious cycle

JOURNAL FREE ACCESS

2001 Volume 40 Issue 2 Pages 140-143

DOI https://doi.org/10.2169/internalmedicine.40.140

Details

Abstract

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.
(Internal Medicine 40: 140-143, 2001)

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