Painful Plantar Lesions: An Unusual Presentation for Rheumatoid Nodules
KEY WORDSrheumatoid nodules rheumatoid arthritis plantar nodule painful
He received infliximab and direct injection of intralesional betamethasone. After 6 months of treatment, there was a little improvement, although no new lesions developed.
RN typically appears on extensor surfaces and areas of pressure or repetitive trauma, particularly adjacent to the olecranon and the dorsal aspect of the hand.1 Occurrence in the feet is rare, and only sparsely reported in the literature.2 Asymptomatic lesions do not require treatment unless they become ulcerated or infected or limit mobility.3 Clinicians should be aware of this presentation and differentiate it from conditions with similar appearance including fibromas caused by chronic trauma from shoes, subcutaneous granuloma annulare. and sarcoidosis.
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Conflict of Interest
The authors declare that they do not have a conflict of interest.