Rheumatoid nodules affecting both heels with surgical debulking: a case report*.
The presence of subcutaneous nodules in association with rheumatoid arthritis is well documented. In most cases, these nodules occur in association with severe rheumatoid disease. Treatment should be initiated with conservative measures such as custom-molded shoes, nonweightbearing, and oral antibiotic therapy to control infection. The goals of surgery were to alleviate pain, improve function and cosmesis, remove infected bone, and prevent further infection. The surgical sites are completely healed without complications 2 years postoperatively.
Jones
R O
RO
American Board of Podiatric Surgery, Victoria, British Columbia, Canada.
Chen
J B
JB
Pitcher
D
D
Gebhart-Mueller
E Y
EY
Mueller
P Q
PQ
D001172:Arthritis, Rheumatoid / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery; D005260:Female; D005531:Foot Deformities, Acquired / Q000000981:diagnostic imaging / Q000209:etiology*; D016523:Foot Ulcer / Q000209:etiology / Q000601:surgery*; D006365:Heel; D006801:Humans; D008875:Middle Aged; D011859:Radiography; D012218:Rheumatoid Nodule / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery*; D014945:Wound Healing / Q000502:physiology