Rheumatoid nodules
What is a rheumatoid nodule?
Rheumatoid nodules are firm lumps that grow under the skin in a person with rheumatoid arthritis. They range in size from a few millimetres to centimetres in diameter. They commonly occur in areas prone to pressure/ irritation -elbow, back of the forearm, and metacarpophalangeal joint. They are generally seen in chronic active rheumatoid arthritis patients. They are commonly associated with more joint deformity & extra articular manifestations affecting the lungs & eyes.
What are the complication of a rheumatoid nodule?
These nodules are generally benign. However, they may ulcerate; get infected & occasionally put pressure on the nerves.
How does a rheumatoid nodule treated?
Anti arthritis (DMARDs) may reduce the size of these nodules. Injection of corticosteroids into the nodules helps reduce the size & pain. An occasional patient with complicated nodule may require surgical excision.
Rheumatoid nodule on the back of the forearm & a lung rheumatoid
nodule.
Created on: April 2007
Last updated on: December 2009
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