Palindromic Rheumatoid Arthritis or palindromic Rheumatism is also known by Hench-Rosenberg Syndrome, is a type of inflammatory arthritis and consist of sudden and rapid development of arthritis. It doesn’t cause permanent joint damage like that of RA. There is a certain pain, and inflammation in the joints of knees, fingers, wrists, elbows, etc, and may come and go. Some nodules like RA is found in Palindromic Rheumatism. The risk of occurrence of this disease is same in both men and women between the age group of 30 to 60 years. The occurrence of flares may make the joints to pain and swell, but there is no as such evidence of having weakness and fever, which therefore confuses a patient, to compare it with Rheumatoid Arthritis. Only few patients suffering from this syndrome may develop Rheumatoid Arthritis and may test positive in Rheumatoid Factor, high sedimentation rate, and high level of C – reactive protein in their blood tests. The diagnosis of Palindromic Rheumatoid Arthritis becomes very difficult as it consumes more time and is usually based on eliminating some conditions. The flares may last for few hours and may disappear and on the whole few joints and some soft tissues are affected. This disease may show no further damage to the joints in its progression.
The symptoms of Palindromic Rheumatoid Arthritis resembles to that of Rheumatoid Arthritis. There is also involvement of chronological episodes of pain, swelling, and stiffness of joints especially in the morning, but effects mainly few joints. Some patient’s blood test may show the rise of CRP and ESR, but generally it happens in rare cases. Some nodules are also found in the affected areas and involve swelling of some soft tissues like heel pads and finger pads.
The treatment of Palindromic Rheumatoid Arthritis is very challenging as very little information had been gathered about it. Some general treatment may include pain killers, anti- inflammatory drugs like NSAIDs (Non-steroidal Anti-inflammatory drugs) and DMARDs (Disease Modifying anti-rheumatic drugs), but these medicines may not be very effective. These medicines only work when a patient is found to be positive to some Rheumatoid Factors. The treatment includes only symptomatic, that means only the symptoms are treated as the root cause is not yet known.
Though there is many development in the field of medicine to treat this type of disease, doctors advises the patients to follow some diet plan. All sorts of food in a diet may have some ill effects, so there are some food items which help a patient to recover soon. They may consume Omega 3 fatty acids (found in some fish oils like salmon and tuna), fruits and vegetables, vitamins, juices, and some vegetable oils.
Patients should not disguise themselves by comparing Polindromic Rheumatoid Arthritis with that of Rheumatoid Arthritis. This disease may persist for a certain period of time and may permanently elope, if aggressive treatment is provided to the patient.