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SPECIAL FEATURE

SPECIAL FEATURE Abstract A 2-year-old boy presented with the complaint of swellings over the arms, patellar areas, and feet. A firm, immobile, nonerythematous swelling was first noticed on the left arm 2 months previously, and then similar lesions appeared on the other arm and knees. Arm motion was limited in the morning. Parents were unrelated and their three other children were healthy. There were no similar cases in the family. Physical examination revealed a well-developed boy, 85 cm in height, and 13.4 kg in weight, with a firm, slightly movable nodule measuring 1.5×1.5 cm on the lateral side of the right forearm. Similar subcutaneous nodules were also found on the right arm, knees, left thigh, and ankle. The physical findings of the other systems were unremarkable. Laboratory investigations showed the following: hemoglobin, 11 g/dL; white blood cells, 8.1×109/L; erythrocyte sedimentation rate, 4 mm/h. Tests for antistreptolysin O, C-reactive protein, and rheumatoid References 1. Burry HC, Caughey DE, Palmer DG. Benign rheumatoid nodules . Aust N Z J Med . 1979;9:697-701.Crossref 2. Kaye BR, Kaye RL, Bobrove A. Rheumatoid nodules: review of the spectrum of associated conditions and proposal of a new classification with a report of four seronegative cases . Am J Med . 1984;76:279-292.Crossref 3. McCarty DJ. Benign rheumatoid nodules . In: McCarty DJ, ed. Arthritis and Allied Conditions . Philadelphia, Pa: Lea & Febiger; 1988:717. 4. Wisnieski JJ, Askari AD. Rheumatoid nodulosis: a relatively benign rheumatoid variant . Arch Intern Med . 1981;141:615-619.Crossref 5. Burrington JD. Pseudorheumatoid nodules in children: report of 10 cases . Pediatrics . 1970;45:473-478. 6. Altman RS, Caffrey PR. Isolated subcutaneous rheumatic nodules . Pediatrics . 1964;34:869-872. 7. Sibley JT. Pregnancy and benign rheumatoid nodules . Am J Med . 1986;81:1124.Crossref 8. Rush PJ, Bernstein BH, Smith CR, Shore A. Chronic arthritis following benign rheumatoid nodules of childhood . Arthritis Rheum . 1985;28:11 75-1178. 9. Berardinelli JL, Hyman CJ, Campbell EE, Fireman P. Presence of rheumatoid factor in ten children with isolated rheumatoid-like nodules . J Pediatr . 1972;81:751-757.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

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References (9)

Publisher
American Medical Association
Copyright
Copyright © 1993 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1993.02160330101031
Publisher site
See Article on Publisher Site

Abstract

Abstract A 2-year-old boy presented with the complaint of swellings over the arms, patellar areas, and feet. A firm, immobile, nonerythematous swelling was first noticed on the left arm 2 months previously, and then similar lesions appeared on the other arm and knees. Arm motion was limited in the morning. Parents were unrelated and their three other children were healthy. There were no similar cases in the family. Physical examination revealed a well-developed boy, 85 cm in height, and 13.4 kg in weight, with a firm, slightly movable nodule measuring 1.5×1.5 cm on the lateral side of the right forearm. Similar subcutaneous nodules were also found on the right arm, knees, left thigh, and ankle. The physical findings of the other systems were unremarkable. Laboratory investigations showed the following: hemoglobin, 11 g/dL; white blood cells, 8.1×109/L; erythrocyte sedimentation rate, 4 mm/h. Tests for antistreptolysin O, C-reactive protein, and rheumatoid References 1. Burry HC, Caughey DE, Palmer DG. Benign rheumatoid nodules . Aust N Z J Med . 1979;9:697-701.Crossref 2. Kaye BR, Kaye RL, Bobrove A. Rheumatoid nodules: review of the spectrum of associated conditions and proposal of a new classification with a report of four seronegative cases . Am J Med . 1984;76:279-292.Crossref 3. McCarty DJ. Benign rheumatoid nodules . In: McCarty DJ, ed. Arthritis and Allied Conditions . Philadelphia, Pa: Lea & Febiger; 1988:717. 4. Wisnieski JJ, Askari AD. Rheumatoid nodulosis: a relatively benign rheumatoid variant . Arch Intern Med . 1981;141:615-619.Crossref 5. Burrington JD. Pseudorheumatoid nodules in children: report of 10 cases . Pediatrics . 1970;45:473-478. 6. Altman RS, Caffrey PR. Isolated subcutaneous rheumatic nodules . Pediatrics . 1964;34:869-872. 7. Sibley JT. Pregnancy and benign rheumatoid nodules . Am J Med . 1986;81:1124.Crossref 8. Rush PJ, Bernstein BH, Smith CR, Shore A. Chronic arthritis following benign rheumatoid nodules of childhood . Arthritis Rheum . 1985;28:11 75-1178. 9. Berardinelli JL, Hyman CJ, Campbell EE, Fireman P. Presence of rheumatoid factor in ten children with isolated rheumatoid-like nodules . J Pediatr . 1972;81:751-757.Crossref

Journal

American Journal of Diseases of ChildrenAmerican Medical Association

Published: Sep 1, 1993

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