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.
Original language | English (US) |
---|---|
Pages (from-to) | E12-E14 |
Journal | Head and Neck |
Volume | 39 |
Issue number | 1 |
DOIs | |
State | Published - Jan 1 2017 |
Keywords
- autoimmune
- buccal mass
- methotrexate
- rheumatoid arthritis
- rheumatoid nodule
ASJC Scopus subject areas
- Otorhinolaryngology