Soft tissue swellings in the foot: Rheumatoid nodulosis

McMurrich, William; Thomson, Colin E; McKay, Neil; McRorie, Euan; Salter, Donald; McKinley, John

doi:10.1016/j.foot.2013.11.004

Cited by 4 publications

(5 citation statements)

References 25 publications

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“… 1 Plantar involvement is rare and seldom described in the literature; it is generally observed in the context of multiple lesions in other locations. 3 …”

Section: Discussionmentioning

confidence: 99%

Case for diagnosis. Subcutaneous nodules in the plantar region

Silva

Fasciani

Valente

et al. 2020

Anais Brasileiros de Dermatologia

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The authors report a case of mobile and painful nodules on the bilateral plantar surface of a female patient referred by the rheumatology service, where she was being followed-up for rheumatoid arthritis. A nodule excision was performed for differential diagnosis and symptom relief; the histopathological analysis was compatible with a rheumatoid nodule. Although rheumatoid nodules are a common manifestation of rheumatoid arthritis, exclusive plantar involvement is seldom described in the literature.

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“… 1 Plantar involvement is rare and seldom described in the literature; it is generally observed in the context of multiple lesions in other locations. 3 …”

Section: Discussionmentioning

confidence: 99%

Case for diagnosis. Subcutaneous nodules in the plantar region

Silva

Fasciani

Valente

et al. 2020

Anais Brasileiros de Dermatologia

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“…Among these reported cases of foot and ankle rheumatoid nodules, there was no reported case of affecting the anterior aspect of the foot and ankle. All reported cases were located on the plantar surface, mainly on the heel [2][3][4][5][6]. A subcutaneous rheumatoid nodule is a superficial soft-tissue lesion that usually affects the extensor aspect of extremities and areas of frequent mechanical contact such as the elbow and dorsum of the hand in ambulated patients and occiput and sacrum in bed-bound patients [1,7].…”

Section: Discussionmentioning

confidence: 99%

“…For a definite diagnosis, histological examination is the choice of investigation [7]. Histologically, rheumatoid nodule appears as an area of central necrosis enclosed by palisading epithelioid macrophages that are surrounded by a layer of granulation tissue composed of lymphocytes and histocytes [4,7]. Management of rheumatoid nodules is conservative unless infection, ulceration, or disabling symptoms present in which surgical excision is indicated [3].…”

Section: Discussionmentioning

confidence: 99%

Unusual Location of Rheumatoid Nodule Case Report

AlAbdulrahman

2020

OROAJ

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Background: Rheumatoid arthritis (RA) is a chronic inflammatory disease that can lead to joint destruction. RA commonly associated with extra-articular manifestation. The most common musculoskeletal related extra-articular presentation is rheumatoid nodules. Rheumatoid nodule of foot and ankle is a rare presentation, reaching up to 1% of all cases. The diagnosis of the rheumatoid nodule is mainly clinical. Ultrasound and MRI are radiological studies that can support the diagnosis of the rheumatoid nodule. Treatment can be either conservative or surgical excision if symptomatic. Rheumatoid nodule usually affects the extensor aspect of the extremities and areas of frequent mechanical contact such as elbow and dorsum of the hand. We are presenting a case of an unusual location of the rheumatoid nodule on the anterior ankle that is reported previously in English literatures.Case Report: A 59-year-old lady known case of seropositive rheumatoid arthritis presented to the orthopedic clinic with a chief complaint of a mass on the anterior left ankle. MRI revealed heterogeneous soft tissue mass with a central cystic component. The patient was planned for surgical excision of the mass under anaesthesia. Conclusion:The physician should be aware of unusual locations of presentation of rheumatoid nodules. Surgical indications for this mass include pain and restriction of joint movement.

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“…Rheumatoid nodulosis is considered to be a variant of rheumatoid arthritis (RA) characterized by the presence of rheumatoid nodules in the absence of definitive synovitis [1]. Development of rheumatoid nodulosis is regarded as a rare condition, with only a handful of cases having been reported in adults [2][3][4].…”

Section: Introductionmentioning

confidence: 99%

Rheumatoid Nodulosis with Recurrent Nodules: A Case Report

et al. 2015

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Rheumatoid nodulosis, a benign variant of rheumatoid arthritis (RA), is a rare condition characterized by multiple subcutaneous nodules and positive rheumatoid factor in the absence of systemic manifestations or joint disease. Asymptomatic nodules rarely require treatment, and are unlikely to recur after excision, except in cases in which RA develops. Here, we describe an unusual case of recurrent rheumatoid nodulosis in a 42-year-old female presenting with recurrent subcutaneous nodules on the plantar side of her left foot, which caused pain when walking. Nodules were initially excised to control symptoms; however, since the excision, the nodules have recurred twice in the absence of other RA symptoms.

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Soft tissue swellings in the foot: Rheumatoid nodulosis

Cited by 4 publications

References 25 publications

Case for diagnosis. Subcutaneous nodules in the plantar region

Case for diagnosis. Subcutaneous nodules in the plantar region

Unusual Location of Rheumatoid Nodule Case Report

Rheumatoid Nodulosis with Recurrent Nodules: A Case Report

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