Bottom line: A diagnosis of palindromic syndrome is based on the clinical picture. Laboratory tests may not be helpful.
Summary: Sanmarti R, et al. Palindromic rheumatism and other relapsing arthritis. Best Pract Res Clin Rheumatol. 2004 Oct;18(5):647-61.
This review describes typical presentation of palindromic rheumatism, which includes sudden onset, severe pain usually affecting a single joint, predominantly small joints of wrists and hands, but also shoulders, knees and ankles. Also includes details about autoantibodies, treatment and prognosis.
Rheumatism, Palindromic. In: QuickAnswers [AccessMedicine.]
Repost of Nov 9 2011