1989
DOI: 10.1017/s0022215100110023
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Rheumatoid nodule of the temporal bone

Abstract: A 69-year-old woman with severe rheumatoid arthritis presented with a history of chronic otitis and a facial nerve paralysis. She was found to have a rheumatoid nodule involving the mastoid and mesotympanum. This is believed to be the first reported case of a rheumatoid nodule involving the temporal bone.

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Cited by 5 publications
(3 citation statements)
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“…We find only 1 previous report in the literature of RA nodules in the temporal bone (3). RA nodules are reported to appear in approximately 20% of advanced seropositive RA cases (1).…”
Section: Discussionmentioning
confidence: 61%
“…We find only 1 previous report in the literature of RA nodules in the temporal bone (3). RA nodules are reported to appear in approximately 20% of advanced seropositive RA cases (1).…”
Section: Discussionmentioning
confidence: 61%
“…A genetic predisposition is suspected, which leads to an increased immune reaction to an initial infection. In 1989, Hoffman et al described the case of a 69-year-old female patient with rheumatoid arthritis and involvement of the middle ear and mastoid, who showed the clinical symptoms of chronic otitis media and resulted in facial paresis [122]. Gussen et al report the case of a 55-year-old female patient with involvement of the malleo-incudial joint [123].…”
Section: Rheumatoid Arthritismentioning
confidence: 99%
“…The histopathologic findings of vasculitis, necrosis, and granulomatous inflammation are the gold standard for the diagnosis of Wegener granulomatosis. 7,8 In addition, elevated rheumatoid factor is nonspecific; it can be elevated in both infectious and autoimmune processes. 5 Biopsies of tissues from the nasal mucosa have a higher diagnostic yield but still have a significant false-negative rate and a negative predictive value of 74%.…”
mentioning
confidence: 99%