INFO - Rheumatoid arthritis: rheumatoid nodules

[Guest guest]

eMedicine.com

March 22, 2006

" Rheumatoid Arthritis " :

Excerpt:

Rheumatoid nodules

Rheumatoid nodules occur in approximately 25% of patients with RA, but

they occur in less than 10% of patients during the first year of the

disease. They are most commonly found on extensor surfaces or sites of

frequent mechanical irritation.

The olecranon process, proximal ulna, back of the heel, occiput, and

ischial tuberosities are common periosteal sites for rheumatoid nodule

development. Nodules also may form in subcutaneous tissues of the finger, in

toe and heel pads, in tendons, and in viscera.

Rheumatoid factor (RF) is almost invariably present, and if absent,

other diagnoses are suggested.

Frequently, there is a discrepancy between the level of articular

inflammation and the progression of nodule formation. Patients with

rheumatoid nodulosis have a great number of nodules, usually subcutaneous,

and may have little active synovitis. In a similar fashion, patients whose

articular inflammation responds well to treatment with methotrexate may have

a seemingly paradoxical rapid increase in the number of nodules.

http://www.emedicine.com/pmr/topic124.htm

Not an MD

I'll tell you where to go!

Mayo Clinic in Rochester

http://www.mayoclinic.org/rochester

s Hopkins Medicine

http://www.hopkinsmedicine.org

[Guest guest]

--- In , " " <Matsumura_Clan@...>

wrote:

>

> eMedicine.com

> March 22, 2006

>

>

> " Rheumatoid Arthritis " :

>

>

> Excerpt:

>

>

> Rheumatoid nodules

>

> Rheumatoid nodules occur in approximately 25% of patients with RA, but

> they occur in less than 10% of patients during the first year of the

> disease. They are most commonly found on extensor surfaces or sites of

> frequent mechanical irritation.

>

> The olecranon process, proximal ulna, back of the heel, occiput, and

> ischial tuberosities are common periosteal sites for rheumatoid nodule

> development. Nodules also may form in subcutaneous tissues of the

finger, in

> toe and heel pads, in tendons, and in viscera.

>

> Rheumatoid factor (RF) is almost invariably present, and if absent,

> other diagnoses are suggested.

>

> Frequently, there is a discrepancy between the level of articular

> inflammation and the progression of nodule formation. Patients with

> rheumatoid nodulosis have a great number of nodules, usually

subcutaneous,

> and may have little active synovitis. In a similar fashion, patients

whose

> articular inflammation responds well to treatment with methotrexate

may have

> a seemingly paradoxical rapid increase in the number of nodules.

>

> http://www.emedicine.com/pmr/topic124.htm

>

>

>

>

> Not an MD

>

> I'll tell you where to go!

>

> Mayo Clinic in Rochester

> http://www.mayoclinic.org/rochester

>

> s Hopkins Medicine

> http://www.hopkinsmedicine.org

>

I guess I'm the exception that proves the rule--prior to going on MTX

I had marble size nodules in my elbows. I also have pea size nodules

at the base of my thumbs. I'm sero-negative, but have quite a bit of

swelling in hands, wrists, feet, and ankles.

Since I've been on MTX, my elbow nodules have disappeared. The

nodules at the base of my thumbs are still there though.

I'm going on Enbrel shortly--as soon as I can get things straightened

out through my insurance company's " specialty pharmacy " . So, we'll

see if this helps my thumb nodules as well.

dordale

[Guest guest]

Hi ,

Thank you for the information regarding nodules, could you put it in terms

that I could understand though? Sorry, I don't know what you said regarding

them. The technical terms are beyond me. I have one on my foot and would like to

know if it is in a place you spoke about. Thanks Peggy

<Matsumura_Clan@...> wrote:

eMedicine.com

March 22, 2006

" Rheumatoid Arthritis " :

Excerpt:

Rheumatoid nodules

Rheumatoid nodules occur in approximately 25% of patients with RA, but

they occur in less than 10% of patients during the first year of the

disease. They are most commonly found on extensor surfaces or sites of

frequent mechanical irritation.

The olecranon process, proximal ulna, back of the heel, occiput, and

ischial tuberosities are common periosteal sites for rheumatoid nodule

development. Nodules also may form in subcutaneous tissues of the finger, in

toe and heel pads, in tendons, and in viscera.

Rheumatoid factor (RF) is almost invariably present, and if absent,

other diagnoses are suggested.

Frequently, there is a discrepancy between the level of articular

inflammation and the progression of nodule formation. Patients with

rheumatoid nodulosis have a great number of nodules, usually subcutaneous,

and may have little active synovitis. In a similar fashion, patients whose

articular inflammation responds well to treatment with methotrexate may have

a seemingly paradoxical rapid increase in the number of nodules.

http://www.emedicine.com/pmr/topic124.htm

Not an MD

I'll tell you where to go!

Mayo Clinic in Rochester

http://www.mayoclinic.org/rochester

s Hopkins Medicine

http://www.hopkinsmedicine.org

---------------------------------

Get your own web address for just $1.99/1st yr. We'll help. Small

Business.

[Guest guest]

Peggy,

I didn't say it, rather it is an excerpt from eMedicine.com (see the link).

Nodules can be found in other places than those listed, but the ones

mentioned in the article that are specific to the foot are: the back of the

heel and the toe and heel pads.

Not an MD

I'll tell you where to go!

Mayo Clinic in Rochester

http://www.mayoclinic.org/rochester

s Hopkins Medicine

http://www.hopkinsmedicine.org

Re: [ ] INFO - Rheumatoid arthritis: rheumatoid nodules

> Hi ,

> Thank you for the information regarding nodules, could you put it in

> terms that I could understand though? Sorry, I don't know what you said

> regarding them. The technical terms are beyond me. I have one on my foot

> and would like to know if it is in a place you spoke about. Thanks Peggy

>

> <Matsumura_Clan@...> wrote:

> eMedicine.com

> March 22, 2006

>

> " Rheumatoid Arthritis " :

>

> Excerpt:

>

> Rheumatoid nodules

>

> Rheumatoid nodules occur in approximately 25% of patients with RA, but

> they occur in less than 10% of patients during the first year of the

> disease. They are most commonly found on extensor surfaces or sites of

> frequent mechanical irritation.

>

> The olecranon process, proximal ulna, back of the heel, occiput, and

> ischial tuberosities are common periosteal sites for rheumatoid nodule

> development. Nodules also may form in subcutaneous tissues of the finger,

> in

> toe and heel pads, in tendons, and in viscera.

>

> Rheumatoid factor (RF) is almost invariably present, and if absent,

> other diagnoses are suggested.

>

> Frequently, there is a discrepancy between the level of articular

> inflammation and the progression of nodule formation. Patients with

> rheumatoid nodulosis have a great number of nodules, usually subcutaneous,

> and may have little active synovitis. In a similar fashion, patients whose

> articular inflammation responds well to treatment with methotrexate may

> have

> a seemingly paradoxical rapid increase in the number of nodules.

>

> http://www.emedicine.com/pmr/topic124.htm

>

>