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Atypical Localized Rheumatoid Nodule: Case Report.
Korhan Baris Bayram1, Ece Uslu Guvendi1, Alev Gurgan1
1Katip Celebi University Ataturk Training and Research Hospital.
Acta Reumatologica Portuguesa
|March 19, 2015
Summary
Rheumatoid nodules, common in rheumatoid arthritis, can appear unusually. This case highlights a rheumatoid nodule near the hyoid bone, initially mistaken for cancer, emphasizing the need for careful diagnosis.
Area of Science:
- Rheumatology
- Pathology
- Head and Neck Surgery
Background:
- Rheumatoid nodules occur in approximately 30% of patients with rheumatoid arthritis.
- While typically subcutaneous, rheumatoid nodules can rarely manifest in visceral organs or atypical locations.
- Atypical presentations can mimic other clinical conditions, complicating diagnosis.
Purpose of the Study:
- To report a rare case of a rheumatoid nodule presenting near the hyoid bone.
- To discuss the diagnostic challenges posed by rheumatoid nodules in unusual locations.
- To emphasize the importance of considering rheumatoid nodules in the differential diagnosis of neck masses.
Main Methods:
- Case report presentation.
- Review of clinical presentation, imaging, and histopathological findings.
- Discussion of differential diagnoses for neck masses.
Main Results:
- A rheumatoid nodule was identified in close proximity to the hyoid bone.
- The lesion was initially suspected to be a malignancy.
- Histopathological examination confirmed the diagnosis of a rheumatoid nodule.
Conclusions:
- Rheumatoid nodules can occur in rare and unexpected locations, such as near the hyoid bone.
- Atypical rheumatoid nodules require thorough investigation to rule out malignancy.
- Awareness of unusual presentations is crucial for accurate diagnosis in rheumatology and head and neck surgery.