The term palindromic rheumatism has been applied by Hench and Rosenberg1 to an unusual disease of joints and adjacent tissues recently described by them. Characterizing the disease are multiple episodes of acute arthritis, periarthritis and occasionally para-arthritis without fever. Typically, only one, though occasionally several, small or large joints are involved in an attack, with pain, swelling, redness and disability. The attacks are sudden in onset, reach a climax rapidly and then subside, leaving no residue. Despite scores of attacks at irregularly spaced long or short intervals, irreversible changes in the joints or periarticular tissues are not found.
REPORT OF CASE
A man aged 53, who during the first world war served in France for two years, first with the Y. M. C. A. and later with the Army of the United States, was employed as a university instructor from 1919 to 1927 and as secretary of a national