Hannonen P, Möttönen T, Oka M
Department of Medicine, Central Hospital, Jyväskylä, Finland.
Scand J Rheumatol. 1987;16(6):413-20. doi: 10.3109/03009748709165412.
Sixty patients with palindromic rheumatism (PR) with a total follow-up time of 598 years and 295 years prospectively are presented. The study shows that PR is not a rare condition, but the syndrome is often ignored or misdiagnosed by the physician. Most cases of PR appear to evolve into chronic arthritis. PR may precede other kinds of systemic diseases, such as SLE, Wegener's granulomatosis, and multiple myeloma. The presence of PR in patients with fibromyalgia is reported in this paper. Gold appears to be the best drug for the treatment of PR. Cases of fibromyalgia and PR are treated successfully with antimalarial drugs. Our proposed diagnostic criteria for PR are as follows: 1) recurrent attacks of sudden-onset mono or polyarthritis or of periarticular tissue inflammation, lasting from a few hours to one week; 2) verification of at least one attack by a physician; 3) subsequent attacks in at least three different joints; 4) exclusion of other forms of arthritides.
本文报告了60例回纹型风湿症（PR）患者，前瞻性随访时间共计598年，前瞻性随访时间为295年。研究表明，PR并非罕见病症，但该综合征常被医生忽视或误诊。大多数PR病例似乎会发展为慢性关节炎。PR可能先于其他类型的全身性疾病出现，如系统性红斑狼疮、韦格纳肉芽肿病和多发性骨髓瘤。本文报道了纤维肌痛患者中PR的存在情况。金制剂似乎是治疗PR的最佳药物。抗疟药成功治疗了纤维肌痛和PR病例。我们提出的PR诊断标准如下：1）突发单关节炎或多关节炎或关节周围组织炎症反复发作，持续数小时至一周；2）至少一次发作经医生证实；3）至少在三个不同关节随后发作；4）排除其他形式的关节炎。
