Palindromic Rheumatism is an autoimmune disease where the immune system sporadically attacks multiple joints at once causing flares of acute multi-joint pain. Flares can last between hours to several days. Flares may affect mobility depending on severity and joint location. But, upon end of the flare there is no permanent joint damage or visible signs of the disease.

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PALINDROMIC RHEUMATISM

Synonyms:
Joint pain
Swelling
Redness
Stiffness
Lessened mobility
Fatigue

Types:
Generally no types, but doctors do tend to note if you test positive for rheumatoid factor.

SYSTEMS AFECTED

Immune system
Skeletal system

Symptoms

Having high or low rheumatoid factor doesn't mean you do or don't have PR, but some doctors believe those with high rheumatoid factor are more at risk for developing RA. Doctors estimate between 30-50% of those with PR will develop RA without preventative treatments.

Treatments

The number one treatment is preventative medications combined with NSAIDs for pain. There are many possible medications that can be prescribed, all with different risks and side effects.
Some common drugs used are:
- hydroxychloroquine sulfate
- methotrexate
- plaquenil
- sulfasalazine
- prednisone
- nabumetone
- naproxen
This list is not complete and your doctor may choose a different treatment plan.
One thing you should absolutely do is research any suggested treatment plan as some of these medications have side effects affecting fertility, vision, and overall immunity. You should always be proactive in understanding your treatment and taking any necessary precautions and completing all regular check-ups.

Specialist who treat it

Rheumatology

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