Elsevier

Joint Bone Spine

Volume 70, Issue 3, June 2003, Pages 234-235
Joint Bone Spine

Letter to the Editor
Rheumatoid nodules in systemic lupus erythematosus: a case report

https://doi.org/10.1016/S1297-319X(03)00040-XGet rights and content

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Case-report

A 43-year-old woman was admitted in January 1996 for numerous symptoms: diffuse inflammatory pain in the large and small joints sparing the distal interphalangeal joints; myalgia; discoid rash; photosensitivity; and neurological manifestations including headaches, memory and concentration impairments, and brief absences with postcritical amnesia but no tongue-biting, loss of bladder control, or tonic-clonic movements. She was in poor general health. There was no evidence of Raynaud’s phenomenon

Discussion

Rheumatoid nodules usually occur in association with rheumatoid arthritis, where they are seen in 20% of patients overall, 40% of those with seronegative disease, and 6% of those with seronegative disease. However, rheumatoid nodules are not entirely specific to rheumatoid arthritis [1]: they can be seen in a variety of other conditions or in isolation. They have been reported in 5–7% of patents with SLE [2], [3]. In systemic sclerosis, rheumatoid nodules occur in fewer than 10% of patients and

References (5)

  • E. Palazzo et al.

    Le nodule rhumatoïde. L'Actualité rhumatologique

  • B.H. Hahn et al.

    Rheumatoid nodules in systemic lupus erythematous

    Ann Intern M

    (1970)
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