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Nodules, rheumaticI00.0
Synonym(s)
Aschoff nodule; Aschoff's nodes; nodules rheumatici; Rheumatic granulomas; Rheumatic tendon nodules; tendon nodules rheumatic
HistoryThis section has been translated automatically.
Hilliers, 1868
DefinitionThis section has been translated automatically.
Pea-sized nodules in rheumatic fever (30% of cases), located mainly above bony projections (fingers, elbows, back of the head). Heart involvement is frequent.
HistologyThis section has been translated automatically.
In the deep layers of the dermis, palisade granulomas of histiocytes, lymphocytes and various numbers of multinuclear giant cells are found. In the centre of the granuloma, eosinophilic, fibrinoid collagen necroses with nuclear residues as well as fibrin and mucin deposits can be seen.
Differential diagnosisThis section has been translated automatically.
Histological differential diagnoses:
- Rheumatic nodules (rheumatoid nodules)
- Lifting knots
- Gouty Tophi
- Granuloma anulare subcutaneum.
TherapyThis section has been translated automatically.
Treatment of the underlying disease. Otherwise no treatment is necessary. The nodules regress spontaneously.
Progression/forecastThis section has been translated automatically.
Reducible in a short time.