A 49-year-old female presented with intermittent hydrarthrosis affecting the right knee. Numerous calcium pyrophosphate crystals were demonstrated in synovial fluid aspirated from the knee. [ncbi.nlm.nih.gov]

Dictionary;2005, p1018 A definition of the medical term "hydrarthrosis" is presented, which means joint effusion. [connection.ebscohost.com]

It usually begins in adolescence but can present up to the fifth decade [ 1, 2 ]. Our two cases are remarkable because both began later than the normally expected age. [academic.oup.com]

On the basis that IH is periodic in its presentation, early researchers proposed links with malaria where symptoms are also cyclical, even though the two have different duration cycles. [en.wikipedia.org]

This reference guide will be the must-have of any internist or medical professional, as it takes a vast quantity of data across a sweeping grid of disorders, diseases, and presentations, and boils them down to individual parts, facilely indexed, and located [books.google.de]

Clear treatment options have yet to be established. NSAIDs and COX2-inhibitors are generally not effective. [en.wikipedia.org]

When expressed and frequent exacerbations of the disease after failure of other treatment methods may use radiation therapy. In some cases, surgical treatment - synovectomy. [medicalformat.com]

We report here that low doses of colchicine may be a good option in the treatment of IH. [academic.oup.com]

Other possible treatments include pain relievers, keeping the injured area from moving, rehabilitation, and sometimes surgery. [icdlist.com]

Radiation therapy is used after failure of other treatments. Surgical treatment (synovectomy) is indicated for strong and frequent attacks, but does not guarantee a cure (relapses). [vitamedd.com]

The overall prognosis is good and radiographs show no evidence of bony erosions or cartilage loss over time [ 1, 2 ]. Except in rare cases [ 3 ], no crystals have been documented in samples of synovial fluid from these patients [ 2 ]. [academic.oup.com]

All 3 patients with IH responded well to treatment at one-year follow-up. [13] Prognosis [ edit ] Once established, periods of remissions and relapse can persist indefinitely. [en.wikipedia.org]

The presence of large numbers of “ragocytes,” which are granulocytes that have phagocytized immune complexes, is associated with active RA, and their presence may indicate an unfavorable prognosis in this disease. 4 Reiter’s cells represent cytophagocytic [musculoskeletalkey.com]

The prognosis is good with treatment. [basicmedicalkey.com]

Today’s Rounds will hopefully help to shed some light on it by discussing: The epidemiology of palindromic rheumatism; The clinical, pathological, and laboratory aspects of the disease; Its genetics; Prognosis and treatment; and Its progression to other [hopkinsarthritis.org]

Two typical cases of intermittent hydrarthrosis of the knee joint, of diverse etiology, are reported in which apparent cure was obtained following the operative removal of the synovial membrane. [journals.lww.com]

They are organised into groups, and further divided into clinical, etiological or histopathological sub-types. [orpha.net]

Manifestation code identifies conditions for which it is important to record both the etiology and the symptom of the disease. [books.google.com]

Adam, Mehmet; Yildiz, Zafer; Mete, Gül; Leblebici, Berrin // Turkish Journal of Rheumatology;Mar2009, Vol. 24 Issue 1, p58 Intermittent hydrarthrosis (IH) is a monoarticular disease of unknown etiology, characterized by episodic effusions, and it usually [connection.ebscohost.com]

Com] They are organised into groups, and further divided into clinical, etiological or histopathological sub- types. [favebafa.cf]

[…] sclerosis Heritable pulmonary arterial hypertension Limited cutaneous systemic sclerosis Synonym(s): (no synonyms) Classification (Orphanet): - Rare genetic disease - Rare systemic or rheumatologic disease Classification (ICD10): (no data available) Epidemiological [csbg.cnb.csic.es]

Epidemiology [ edit ] Intermittent hydrarthrosis is uncommon and its prevalence is not known. [en.wikipedia.org]

Epidemiology see specific rheumatologic disease see ref [3] Genetics see specific rheumatologic disease see ref [5] Clinical-manifestations see specific rheumatologic disease see ref [6,8] Laboratory see specific rheumatologic disease see ref [7] Management [anvita.info]

Today’s Rounds will hopefully help to shed some light on it by discussing: The epidemiology of palindromic rheumatism; The clinical, pathological, and laboratory aspects of the disease; Its genetics; Prognosis and treatment; and Its progression to other [hopkinsarthritis.org]

Medicine, Erasmus MC, University Medical Center, 's-Gravendijkwal 230, Rotterdam, 3015, CE, The Netherlands (2) Department of Rheumatology, Erasmus MC, University Medical Center, 's-Gravendijkwal 230, Rotterdam, 3015, CE, The Netherlands (3) Department of Epidemiology [arthritis-research.biomedcentral.com]

Pathophysiology The pathogenesis of Intermittent hydrarthrosis is unknown. An involvement of mastocytes has been reported. [wikidoc.org]

Pathophysiology [ edit ] Involvement of mast cells has been reported [7] [8] reflecting a possible immunoallergic aspect to IH. Mattingly suggests that IH may be an unusual variant of rheumatoid arthritis, and some patients may go on to develop RA. [en.wikipedia.org]

This started a controversy as to exactly what palindromic rheumatism is and what its pathophysiology represents. [hopkinsarthritis.org]

Disseminated gonococcal infection: a prospective analysis of 49 patients and a review of pathophysiology and immune mechanisms. Medicine [Baltimore]. 1983;62:395–406. 5. Cucurull E, Espinoza LR. Gonococcal arthritis. [aafp.org]

No successful treatment for preventing or aborting the attacks has been documented [ 2 ]. Here we report two cases of IH which responded favourably to low doses of colchicine. [academic.oup.com]

Local steroid injections can also reduce fluid accumulation short-term, but do not prevent onset of episodes. [en.wikipedia.org]

COPING WITH IMMOBILITY Immobilized patients require meticulous care to prevent complications. [basicmedicalkey.com]

Thus, the rapid and accurate diagnosis of a crystal-induced process can serve to prevent a costly and unnecessary sequence of events. [musculoskeletalkey.com]

If infection is suspected, urgent consultation and culture should be obtained, and intravenous antibiotics should be administered to prevent rapid joint destruction. [aafp.org]