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Rheumatoid nodule of the temporal bone
The Journal of Laryngology and Otology
|August 1, 1989
Summary
A rare rheumatoid nodule affected the temporal bone in a patient with severe rheumatoid arthritis, causing chronic otitis and facial paralysis. This case highlights an unusual manifestation of rheumatoid arthritis in the ear.
Area of Science:
- Otorhinolaryngology
- Rheumatology
- Pathology
Background:
- Rheumatoid arthritis is a chronic autoimmune disease primarily affecting joints.
- Rheumatoid nodules are common extra-articular manifestations but rarely involve the temporal bone.
Observation:
- A 69-year-old woman with severe rheumatoid arthritis presented with chronic otitis and facial nerve paralysis.
- Imaging and subsequent examination revealed a rheumatoid nodule within the mastoid and mesotympanum.
Findings:
- The case represents the first documented instance of a rheumatoid nodule impacting the temporal bone.
- The nodule's location led to significant otologic and neurologic symptoms.
Implications:
- This case expands the known spectrum of rheumatoid nodule involvement.
- Highlights the importance of considering rheumatoid arthritis in the differential diagnosis of temporal bone pathologies presenting with otologic and neurologic symptoms.