Table 1 Diagnostic criteria for palindromic rheumatism

 ▪ A history of brief sudden-onset, recurrent attacks of monoarthritis

 ▪ Direct observation of one attack by a physician

 ▪ Three or more joints involved in different attacks

 ▪ More than five attacks in the last 2 years

 ▪ Negative x-rays, acute phase reactants and rheumatoid factor

 ▪ Exclusion of other recurrent monoarthritis: gout; chondrocalcinosis; intermittent hydrarthrosis; and periodic diseases