A rheumatoid nodule in an unusual location: mediastinal lymph node. (2nd May 2013)

• Record Type: Journal Article
• Authors: Yachoui, Ralph; Ward, Celine; Kreidy, Mazen
• Is Part Of: BMJ case reports. Volume 2013
• Publication Date: 2013-05-02
• Subjects: Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2013-009516
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : Rheumatoid arthritis (RA) is a multisystem inflammatory disease characterised by destructive synovitis and varied extra-articular involvement. Rheumatoid lung nodules are the most common pulmonary manifestations of RA. Rheumatoid nodules in mediastinal lymph nodes are extremely uncommon. We describe a male patient with long-standing RA and subcutaneous rheumatoid nodules presenting with multiple lung nodules and mediastinal lymphadenopathies. Definite histopathology of a lymph node was consistent with necrobiotic granuloma due to RA. Clinicians should be aware of rheumatoid nodules as a potential cause of mediastinal lymphadenopathies, mainly in advanced rheumatoid arthritis.