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1 results

  • Rheumatoid nodules of the larynx

  • Waldemar Trolle Sørensen, Kim Møller-Andersen, Nille Behrendt
  • Journal:
    The Journal of Laryngology & Otology / Volume 112 / Issue 6 / June 1998
    Published online by Cambridge University Press:
    29 June 2007, pp. 573-574
    Print publication:
    June 1998

  • A 67-year-old woman with rheumatoid arthritis was hospitalized because of dysphagia and severe nodulosis. Over a two-year period the patient had been treated with methotrexate. A computed tomography (CT) scan of the neck showed a 2 × 2 cm large tumour behind the top left lateral thyroid cartilage. A biopsy taken during direct laryngoscopy showed it was a rheumatic nodule. Treatment with colchicine reduced the patient's dysphagia. As methotrexate is used increasingly in the treatment of rheumatoid arthritis and as this particular drug causes rheumatic nodules in five to 10 per cent of the patients, it must be foreseen that the incidence of nodules in the upper airways will increase.