The Experts below are selected from a list of 276 Experts worldwide ranked by ideXlab platform
Sandrine Guis - One of the best experts on this subject based on the ideXlab platform.
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calcaneal osteomyelitis due to fistulization of an ulcerated Rheumatoid Nodule
Joint Bone Spine, 2006Co-Authors: Patrice Alcaraz, Clemence Aubran, Sami Jaoua, Chantal Roudier, Jeanpierre Mattei, Nadia Announ, Christophe Chagnaud, Jean Roudier, Sandrine GuisAbstract:Abstract Calcaneal osteomyelitis is uncommon and difficult to treat. Cases due to fistulization of an infected Rheumatoid Nodule are exceedingly rare. Patient. – A 65-year-old patient with nodular Rheumatoid arthritis (RA) experienced osteomyelitis of the left calcaneus due to inoculation from a fistula draining an ulcerated Rheumatoid Nodule. Pseudomonas aeruginosa and Enterobacter cloacae were recovered. The conventional treatment of calcaneal osteomyelitis relies on antibiotics and calcanectomy or foot amputation. We used two appropriate antibiotics and monthly intravenous injections of 90 mg of pamidronate. Result. – One year into treatment, the patient was free of pain and the skin wound was fully healed. On a follow-up computed tomography (CT) scan, the fistulous tract was seen to be closed and the large calcaneal defect almost completely filled with new bone. Conclusion. – Combining two antibiotics and pamidronate may be a viable alternative to excision surgery or amputation in some patients with bone infection carrying a risk of fracture.
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case report calcaneal osteomyelitis due to fistulization of an ulcerated Rheumatoid Nodule
2006Co-Authors: Sami Jaoua, Chantal Roudier, Jeanpierre Mattei, Christophe Chagnaud, Jean Roudier, Sandrine GuisAbstract:Calcaneal osteomyelitis is uncommon and difficult to treat. Cases due to fistulization of an infected Rheumatoid Nodule are exceedingly rare. Patient. –A 65-year-old patient with nodular Rheumatoid arthritis (RA) experienced osteomyelitis of the left calcaneus due to inoculation from a fistula draining an ulcerated Rheumatoid Nodule. Pseudomonas aeruginosa and Enterobacter cloacae were recovered. The conventional treatment of calcaneal osteomyelitis relies on antibiotics and calcanectomy or foot amputation.We used two appropriate antibiotics and monthly intravenous injections of 90 mg of pamidronate. Result. – One year into treatment, the patient was free of pain and the skin wound was fully healed. On a follow-up computed tomography (CT) scan, the fistulous tract was seen to be closed and the large calcaneal defect almost completely filled with new bone. Conclusion. – Combining two antibiotics and pamidronate may be a viable alternative to excision surgery or amputation in some patients with bone infection carrying a risk of fracture. © 2005 Published by Elsevier SAS.
K. Sato - One of the best experts on this subject based on the ideXlab platform.
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Plantar callus with fistula in patients with Rheumatoid arthritis: a possible association with a perforating Rheumatoid Nodule
European Journal of Dermatology, 1994Co-Authors: Yuko Higaki, A. Ota, S. Terajima, Makoto Kawashima, Megumu Higaki, K. SatoAbstract:Plantar calluses seen on the forefeet of patients with Rheumatoid arthritis are sometimes painful and disabling. Fistula formation is occasionally seen in the painful plantar callus. To analyze the pathogenesis of fistula formation within painful plantar calluses with soft tissue inflammation, clinicopathological evaluation was performed on two patients with a fistula within a painful callus. Histopathologically, palisading granulomatous lesions resembling Rheumatoid Nodules were observed. It is suggested that a painful callus with a fistula may be an unusual form of a perforating Rheumatoid Nodule
Antonio Alguacil-garcia - One of the best experts on this subject based on the ideXlab platform.
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Necrobiotic palisading suture granulomas simulating Rheumatoid Nodule.
The American journal of surgical pathology, 1993Co-Authors: Antonio Alguacil-garciaAbstract:Five patients without clinical evidence of rheumatic disease developed postoperative periarticular suture reactions featuring necrobiotic granulomas histologically similar to Rheumatoid Nodules. Suture granulomas are to be included in the differential diagnosis of palisading granulomas simulating Rheumatoid Nodule.
Tiago Neto - One of the best experts on this subject based on the ideXlab platform.
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Rheumatoid Nodule Simulating a Parotid Tumor
Head and Neck Pathology, 2020Co-Authors: Sara Martins, Bruno Miguel Fernandes, Miguel Bernardes, Daniel Melo, Tiago NetoAbstract:Rheumatoid Nodules are an extra-articular manifestation of Rheumatoid arthritis that are rarely found in the maxillofacial region. A 59-year-old woman with Rheumatoid arthritis treated with methotrexate, leflunomide, and tocilizumab, presented with an enlarging mass in the left parotid region. Magnetic resonance imaging (MRI) displayed a lesion compatible with a neoplasm. However, an incisional biopsy showed features consistent with a Rheumatoid Nodule. The patient was managed conservatively, including cessation of methotrexate and initiation of treatment with hydroxychloroquine. At 15-month follow-up, the lesion had a significant reduction in size. To our knowledge, this is the first case report of a Rheumatoid Nodule in the parotid region. Although it is a rare manifestation, clinicians should consider this a possible differential diagnosis of parotid masses in patients with a history of Rheumatoid arthritis or connective tissue disease.
Yuko Higaki - One of the best experts on this subject based on the ideXlab platform.
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Plantar callus with fistula in patients with Rheumatoid arthritis: a possible association with a perforating Rheumatoid Nodule
European Journal of Dermatology, 1994Co-Authors: Yuko Higaki, A. Ota, S. Terajima, Makoto Kawashima, Megumu Higaki, K. SatoAbstract:Plantar calluses seen on the forefeet of patients with Rheumatoid arthritis are sometimes painful and disabling. Fistula formation is occasionally seen in the painful plantar callus. To analyze the pathogenesis of fistula formation within painful plantar calluses with soft tissue inflammation, clinicopathological evaluation was performed on two patients with a fistula within a painful callus. Histopathologically, palisading granulomatous lesions resembling Rheumatoid Nodules were observed. It is suggested that a painful callus with a fistula may be an unusual form of a perforating Rheumatoid Nodule