Rheumatoid nodule presenting as Morton’s neuroma

NewsBot · Nov 12, 2012

Members do not see these Ads. Sign Up.
Rheumatoid nodule presenting as Morton’s neuroma
S. Chaganti, S. Joshy, K. Hariharan, M. Rashid
Journal of Orthopaedics and Traumatology; November 2012,

Among 101 feet that presented with symptoms and signs similar to Morton’s neuroma, intermetatarsal rheumatoid nodules were found in five feet (three patients). Two patients had bilateral involvement. Histology of the excised tissue showed the presence of a rheumatoid nodule and Morton’s neuroma in four feet and a rheumatoid nodule with unremarkable nerve bundles in one. A rheumatoid nodule can coexist with Morton’s neuroma, as seen in our patients, and the presentation is often similar to that of a Morton’s neuroma. Our patients were rendered asymptomatic with surgical treatment and went on to have appropriate management of rheumatoid arthritis. Rheumatoid nodule should be considered in the differential diagnosis of Morton’s neuroma in not only rheumatoid arthritis patients but also asymptomatic patients who have never been tested for rheumatoid antibodies.
Click to expand...

Admin2 · Nov 13, 2012

Related Threads:
Other threads tagged with mortons neuroma and rheumatoid arthritis

NewsBot · May 29, 2023

Rheumatoid nodule presenting as a Morton's neuroma in the foot: An important differential diagnosis to consider
Ravi Patel et al
Radiol Case Rep. 2023 May 6;18(7):2416-2419

A 51-year-old lady with a background of rheumatoid arthritis presented to the foot and ankle clinic with pain and a typical history of Morton's neuroma. Examination revealed a palpable swelling over the right foot in the third intermetatarsal space. Following failed conservative management, the patient underwent excision of the neuroma. Histology revealed of necrotizing granulomas with peripheral palisading and no evidence of features specific to a neuroma. This has rarely been described previously and supports the concept of rheumatoid synovitis and nodules producing symptoms mimicking Morton's neuroma/metatarsalgia.
Click to expand...

NewsBot · Jun 6, 2023

Rheumatoid nodule presenting as an indeterminate soft tissue mass in the sole of the foot
Ravi Patel, Raghav Nand, Dakshinamurthy Sunderamoorthy Author Notes
Journal of Surgical Case Reports, Volume 2023, Issue 5, May 2023, rjad278,

A 64-year-old lady with a background of rheumatoid arthritis presented to the foot and ankle clinic with lump underneath the sole of her foot causing significant discomfort. Examination revealed she had a swelling of the first and the second metatarsophalangeal joints. Magnetic resonance imaging revealed abnormal soft tissue thickening between the second and the third metatarsal and a single large encapsulating indeterminate soft tissue mass with a peripheral inflammatory rim. The appearance was suggestive of a malignant sarcoma rather than a rheumatoid nodule or rheumatoid tenosynovitis. The patient was referred to the regional sarcoma unit where the scans were reviewed, and a sarcoma was ruled out. The patient then underwent excision of the indeterminate soft tissue mass. Histology revealed granulomatous infiltration suggestive of a rheumatoid nodule. This has not been described previously in the literature.
Click to expand...

NewsBot The Admin that posts the news.

Admin2 Administrator Staff Member

NewsBot The Admin that posts the news.

NewsBot The Admin that posts the news.

ICD9 code for rheumatoid nodules?

Predicting the progression of rheumatoid arthritis

Foot Involvement as the First Manifestation in Rheumatoid Arthritis

Thermal Characteristics of the foot in rheumatoid arthritis

Rheumatoid Arthritis Foot Disease Activity Index

Foot Health and Quality of Life in Patients With Rheumatoid Arthritis

Subcalcaneal bursitis as the initial manifestation of rheumatoid arthritis

Share This Page