Rheumatoid nodule presenting as a Morton's neuroma in the foot: An important differential diagnosis to consider

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...

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Detalles Bibliográficos
Autores principales: Patel, Ravi, Nand, Raghav, Sunderamoorthy, Dakshinamurthy
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10193162/
https://www.ncbi.nlm.nih.gov/pubmed/37214324
http://dx.doi.org/10.1016/j.radcr.2023.04.001
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author Patel, Ravi
Nand, Raghav
Sunderamoorthy, Dakshinamurthy
author_facet Patel, Ravi
Nand, Raghav
Sunderamoorthy, Dakshinamurthy
author_sort Patel, Ravi
collection PubMed
description 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. Level of clinical evidence: 4
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spelling pubmed-101931622023-05-19 Rheumatoid nodule presenting as a Morton's neuroma in the foot: An important differential diagnosis to consider Patel, Ravi Nand, Raghav Sunderamoorthy, Dakshinamurthy Radiol Case Rep Case Report 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. Level of clinical evidence: 4 Elsevier 2023-05-06 /pmc/articles/PMC10193162/ /pubmed/37214324 http://dx.doi.org/10.1016/j.radcr.2023.04.001 Text en Crown Copyright © 2023 Published by Elsevier Inc. on behalf of University of Washington. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Patel, Ravi
Nand, Raghav
Sunderamoorthy, Dakshinamurthy
Rheumatoid nodule presenting as a Morton's neuroma in the foot: An important differential diagnosis to consider
title Rheumatoid nodule presenting as a Morton's neuroma in the foot: An important differential diagnosis to consider
title_full Rheumatoid nodule presenting as a Morton's neuroma in the foot: An important differential diagnosis to consider
title_fullStr Rheumatoid nodule presenting as a Morton's neuroma in the foot: An important differential diagnosis to consider
title_full_unstemmed Rheumatoid nodule presenting as a Morton's neuroma in the foot: An important differential diagnosis to consider
title_short Rheumatoid nodule presenting as a Morton's neuroma in the foot: An important differential diagnosis to consider
title_sort rheumatoid nodule presenting as a morton's neuroma in the foot: an important differential diagnosis to consider
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10193162/
https://www.ncbi.nlm.nih.gov/pubmed/37214324
http://dx.doi.org/10.1016/j.radcr.2023.04.001
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