Rheumatoid nodule presenting as a buccal submucosal nodule: A rare presentation of a common disease. Issue 1 (12th September 2016)

• Record Type: Journal Article
• Authors: Tay, Gerald Ci‐An; Sauer, David A.; Andersen, Peter E.
• Other Names: Irish Jonathan sponsoringEditor.
• Is Part Of: Head & neck. Volume 39:Issue 1(2017)
• Page Start: E12
• Page End: E14
• Publication Date: 2016-09-12
• Subjects: rheumatoid nodule -- buccal mass -- methotrexate -- rheumatoid arthritis -- autoimmune; Head -- Diseases -- Periodicals; Neck -- Diseases -- Periodicals; Head -- Periodicals; Neck -- Periodicals; Face -- Periodicals; 617.51059
• DOI: 10.1002/hed.24573
• Languages: English
• ISSNs: 1043-3074

Abstract

Abstract: Background: Rheumatoid nodules are a common manifestation of rheumatoid arthritis but buccal rheumatoid nodules are extremely rare. The purpose of this study was to report a rare case of a rheumatoid buccal nodule and a review of the literature. Methods and Results: This case is about a 79‐year‐old woman with rheumatoid arthritis who was taking methotrexate and hydroxychloroquine, presenting with an enlarging left buccal submucosal mass. An incisional biopsy showed features consistent with that of a rheumatoid nodule. The mass was managed expectantly and the patient was taken off methotrexate with a marked reduction in the size of the nodule. Conclusion: Submucosal rheumatoid nodules of the oral cavity are an extremely rare manifestation of rheumatoid arthritis but should be considered in the differential diagnosis in patients with a history of rheumatoid arthritis presenting with submucosal masses. © 2016 Wiley Periodicals, Head Neck 39 : E12–E14, 2017