Rheumatoid arthritic foot. Two manifestations with case studies

The authors review rheumatoid arthritis with focus on two pedal manifestations, rheumatoid nodules and digital deformities. The prevalence, presentation, and diagnostic features concerning these entities are discussed, and three case studies are presented.

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Rheumatoid Nodules Developing under Methotrexate Treatment for Rheumatoid Arthritis

Acta Dermato Venereologica ◽

10.1080/000155599750010436 ◽

1999 ◽

Vol 79 (5) ◽

pp. 397-398 ◽

Cited By ~ 2

Author(s):

T. N. Y. Duong, U. Blume-Peytavi, S. K

Keyword(s):

Rheumatoid Arthritis ◽

Rheumatoid Nodules ◽

Methotrexate Treatment

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Pain Management in Rheumatoid Arthritis: A Cognitive-Behavioural Intervention

South African Journal of Psychology ◽

10.1177/008124639302300101 ◽

1993 ◽

Vol 23 (1) ◽

pp. 1-9 ◽

Cited By ~ 4

Author(s):

Sean Germond ◽

Hein Helgo Schomer ◽

Orlando Llewellyn Meyers ◽

Lindsay Weight

Keyword(s):

Rheumatoid Arthritis ◽

Case Studies ◽

Psychological Adjustment ◽

Psychological Health ◽

Treatment Effects ◽

Disease Status ◽

Complex Nature ◽

Behavioural Intervention ◽

Cognitive Behavioural ◽

Cognitive Behavioural Intervention

Psychological adjustment is thought to play an important role in determining pain experience, disease status, and immune function in rheumatoid arthritis (RA). Fourteen female RA out-patients were tested longitudinally in a matched-random assigned two-groups design with cognitive-behavioural intervention designed to improve pain and stress management skills. Pre-intervention correlational analyses tested the extent to which mood disturbance, self-perceptions of coping efficacy, health locus of control, and stressful life experience were related to pain, disease activity, functional status and lymphocyte proliferation rate variables. Intra- and inter-group analyses were conducted to determine treatment effects, and case studies were conducted. RA was characterized more by poor psychological health status than physical disability, with pain more a function of psychological adjustment than actual disease status. No significant treatment effects were observed. Case studies indicated the complex nature of the individual disease experience. The value of cognitive-behavioural intervention in RA, and implications for future-related research are discussed in terms of such findings.

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Elbow Arthrography in the Evaluation of Posterior Interosseous Nerve Compression in Rheumatoid Arthritis

Journal of Hand Surgery (European Volume) ◽

10.1016/0266-7681_86_90032-x ◽

1986 ◽

Vol 11 (1) ◽

pp. 120-122

Author(s):

A. I. ROTH ◽

B. N. STULBERG ◽

E. J. FLEEGLER ◽

G. H. BELHOBEK

Keyword(s):

Rheumatoid Arthritis ◽

Case Report ◽

Diagnostic Tool ◽

Tendon Rupture ◽

Extensor Tendon ◽

Nerve Compression ◽

Posterior Interosseous Nerve ◽

Rheumatoid Arthritic ◽

Finger Extension

This is a case report of a fifty-nine-year-old rheumatoid arthritic woman who developed lack in finger extension bilaterally. These deficits had two completely different aetiologies, Posterior Interosseous Nerve (PIN) Syndrome and extensor tendon rupture. No previous report in the literature has used elbow arthrography as a diagnostic tool in a patient with PIN Syndrome. Elbow arthrography confirmed the abnormality at this joint and aided in appropriate management.

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"Pseudorheumatoid" Nodules in Children: Report of 10 Cases

PEDIATRICS ◽

10.1542/peds.45.3.473 ◽

1970 ◽

Vol 45 (3) ◽

pp. 473-478 ◽

Cited By ~ 1

Author(s):

John D. Burrington

Keyword(s):

Rheumatoid Arthritis ◽

Rheumatic Fever ◽

Acute Rheumatic Fever ◽

Inflammatory Cells ◽

Granuloma Annulare ◽

Subcutaneous Nodules ◽

Rheumatoid Nodules ◽

Clinical Variant ◽

Ulnar Aspect ◽

Palm Of The Hand

Subcutaneous nodules, composed of necrotic collagen surrounded by chronic inflammatory cells, occur in about 20% of individuals with rheumatoid arthritis, 10% of those with acute rheumatic fever, and 25% of children with granuloma annulare. Similar subcutaneous lesions indistinguishable from rheumatoid nodules may appear in children who do not develop other stigmata of disease. Mesara and ous lesions of granuloma annulare. Therefore, they felt that, in children, these nodules probably represented a clinical variant of granuloma annulare. Beatty3 described nine children aged 11 days to 9 years with nodules on the scalp, ulnar aspect of the arm, dorsum of the foot, and palm of the hand which appeared histologically to be rheumatoid nodules.

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Rheumatoid Nodules and Postoperative Complications

Foot & Ankle International ◽

10.1177/107110070302400106 ◽

2003 ◽

Vol 24 (1) ◽

pp. 40-44 ◽

Cited By ~ 35

Author(s):

Christopher Bibbo ◽

Robert B. Anderson ◽

W. Hodges Davis ◽

Jim Norton

Keyword(s):

Rheumatoid Arthritis ◽

Postoperative Outcome ◽

Infectious Complications ◽

Chemotherapeutic Agents ◽

Operative Procedures ◽

Rheumatoid Nodule ◽

Foot And Ankle ◽

Statistical Association ◽

Rheumatoid Nodules ◽

Ankle Surgery

The records of 104 patients who underwent reconstructive foot and ankle surgery for deformities secondary to rheumatoid arthritis were reviewed. The use of rheumatoid chemotherapeutic agents, age, sex, rheumatoid nodule status, and the number of concurrent surgical procedures performed was analyzed to determine any association with the postoperative outcome for wound healing and infectious complications. The 104 patients, ranging in age from 23 to 83 years, underwent 725 operative procedures. An overall 32% complication rate was recorded. Analysis of five specific rheumatoid chemotherapeutic agents (NSAIDs, steroids, methotrexate, hydroxychloroquine, gold), age, sex, number of operative procedures performed, and presence of rheumatoid nodules, either alone or in combination, failed to prove a statistical association with either a healing or infectious postoperative complication.

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Meningeal rheumatoid nodules in a 55-year-old man presenting with chronic headaches and oculomotor nerve palsy: an uncommon extra-articular manifestation of rheumatoid arthritis

BMJ Case Reports ◽

10.1136/bcr-2019-231474 ◽

2019 ◽

Vol 12 (12) ◽

pp. e231474 ◽

Cited By ~ 2

Author(s):

Hafez Mohammad Ammar Abdullah ◽

Muhammad Omar ◽

Aiham Jbeli ◽

Joseph Fanciullo

Keyword(s):

Rheumatoid Arthritis ◽

Nerve Palsy ◽

Neurological Deficits ◽

Oculomotor Nerve Palsy ◽

High Dose ◽

Cns Involvement ◽

Third Nerve Palsy ◽

Rheumatoid Nodules ◽

Organ Systems ◽

Chronic Headaches

Rheumatoid arthritis (RA) is a multisystem inflammatory disease which can involve many organ systems including the central nervous system (CNS). Though not very common, the results can be severely debilitating. The spectrum of the CNS involvement includes meningitis, encephalitis and occasionally rheumatoid nodules. Its presentation is variable, though very rarely it can present as focal neurological deficits. Imaging can be suggestive, but diagnosis usually requires tissue biopsy. Treatment consists of high-dose steroids and immunosuppressants. We describe the case of a 55-year-old male patient with a history of RA presenting with a third nerve palsy and headache who was found to have rheumatoid nodules on biopsy. CNS involvement in RA should be considered in anyone with rheumatoid arthritis who presents with focal neurological deficits, though infections and space-occupying lesions should also be ruled out.

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