Rheumatoid nodules of the upper lid. Report of a case

Area of Science:

• Ophthalmology
• Rheumatology
• Dermatology

Background:

• Rheumatoid arthritis (RA) is a chronic autoimmune disease primarily affecting joints.
• Rheumatoid nodules are a common extra-articular manifestation of RA, often associated with severe disease.
• Ocular involvement in RA, though less common, can significantly impact patient quality of life.

Observation:

• A 72-year-old female patient presented with severe rheumatoid arthritis.
• The patient exhibited rheumatoid nodules on her left upper eyelid.
• The rheumatoid nodules were noted to be prone to breakdown.

Findings:

• Rheumatoid nodules, including those on the eyelid, have a propensity for spontaneous or trauma-induced breakdown.
• Breakdown of rheumatoid nodules necessitates medical intervention.
• Surgical debridement and wound closure are the recommended procedures for managing broken-down rheumatoid nodules.

Implications:

• Early recognition and management of rheumatoid nodules are crucial in patients with severe RA.
• Ophthalmic complications of RA require multidisciplinary care involving rheumatologists and ophthalmologists.
• Effective treatment of rheumatoid nodules can prevent further complications and improve patient outcomes.