Hi . Like , I can't personally speak to palindromic rheumatism, but I do know that, while it has flares or attacks like RA, it does not accumulate the permanent damage of RA. That is a little bit of good news. That said, about half of cases develop into RA. As noted in this article from the Arthritis Foundation, some of the RA treatments may help with the condition, as well as potential help prevent the eventual onset of RA: https://www.arthritis.org/diseases/palindromic-rheumatism. This may be something you want to ask your rheumatologist about. Wishing you the best and please feel free, if you like, to keep us posted on how you are doing. Richard (RheumatoidArthritis.net Team)