Hello @kimdett, Welcome to Connect. I'm sorry to hear the plaquenil hasn't helped yet with the flare ups yet. Did your doctor or rheumatologist say anything about how long it might take for the drug to start working or if there might be another treatment that might help?

I found the following articles on Palindromic Rheumatism treatments and things that may be helpful:

Arthritis Foundation -- https://www.arthritis.org/about-arthritis/types/palindromic-rheumatism/

Palindromic rheumatism - Arthritis Care (PDF) -https://www.arthritiscare.org.uk/assets/000/001/856/Palindromic_2017_Update_original.pdf

PubMed -- Palindromic rheumatism: effect of dietary manipulation.
-- https://www.ncbi.nlm.nih.gov/pubmed/10895376