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Rheumatoid Nodules

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,

My son has nodules that come and go. He has one he calls his " second

ankle " because it keeps returning next to his ankle. I recall reading about

nodules on this site recently, have you searched the jra onelist site for

information?

Jana

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Thank you. I'm kind of new at using computers and I'm not real sure

where to look for info. I looked at a few different places and got

frustrated. I thought I would try here and see if anyone had experienced

the nodules or knew what they were. Thanks again.

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Hi ,

My son gets a sort of lump/bump near some of his joints, sometimes. The

first time one showed up, it was on his wrist. We were shocked by it's

appearance and worried that it was a permanent sign of deformity.

Fortunately, it wasn't. His tend to recur and later disappear, so

perhaps they aren't exactly what's known as rheumatoid nodules.

Sometimes they are painful and sore, sometimes they don't hurt him. He's

had them occur on his wrists, fingers, elbow and both ankles. I think

the longest one lasted was for about 2 months before disappearing. We

were so relieved. You know the bump by our ankle joint? When Josh had

his worst (what we call) nodule, it was near that and even larger than

the ankle joint itself.

I've read that people who take MTX are more likely to get nodule

formation. I've also heard that there's some relation between severity

of disease and nodule formation. I know this probably won't help too

much. Later on, I'll check in the archives and see if there is

anything better there about it. If so, I'll repost.

Take care,

Georgina

S Broyles wrote:

> Today, I took Kourtney to see her rheumy. I asked about a knot on the

> outside of her leg about 2-3 inches below the knee. About a month ago it

> showed up and I took her to the pediatrician. She said she thought it

> was a bump or bruise that calcified. She suggested asking the rheumy if

> it could be related to the JRA. He told me today that he thought it was

> a rheumatoid nodule. Of course he was running 3 hours behind and didn't

> explain what this is. I haven't been able to find info on these nodules.

> Does anyone have them and know what causes them? Also, is it treated

> with the same meds or is there a different treatment for them? Any info

> would be great!

>

>

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  • 1 year later...
Guest guest

Hi Pat, Dean here :

I developed the nodules a couple of months ago on both sides. Mine hurt when

I put pressure on the areas by resting the forearms on a table, etc. I

thought I was stuck with them but after taking a week of Clindamycin IV's,

they almost disappeared. Dr. Brown said the nodules were due to mycoplasma

concentrating in the area, and your body builds a capsule over them to

contain them and stop them from spreading. Makes sense to me -- as the

antibiotics kill the mico's , your body no longer needs to contain them and

they will dissolve. I hope that is what occured with me, but who knows ? The

nodules are also known to come and go for no apparent reason. Anyhow, that's

my story and I'm sticking to it !!! D.

rheumatic rheumatoid nodules

> Hello,

> Does anyone have nodules on elbows? Do they mean the disease

is

> growing worse or more active? What should one do about therm? What are

your

> experiences?

> Thanks so much for thinking about this. I look forward to

> hearing from you.

>

> Pat

>

>

>

> To unsubscribe, email: rheumatic-unsubscribeegroups

>

>

>

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rheumatic rheumatoid nodules

> Hello,

> Does anyone have nodules on elbows? Do they mean the disease

is

> growing worse or more active? What should one do about therm? What are

your

> experiences?

> >

" From page 149 of The New Arthritis Breakthrough:

Nodules: The Classic Harbinger

The most pronounced and classic symptom of rheumatoid arthritis is the

nodule, which appears at the joints as the first external evidence of

arthritic disfigurement. Because this is so widely recognized for what it

represents, some victims of the disease are actually relieved when the first

rheumatoid nodule appears; now, at last, the patient has something tangible

to take to the doctor. Nodules usually arise at the site of some injury,

such as a sprain or bump, and although it is possible to have one or two

without necessarily having arthritis, it is likely that all such nodules are

the result of disease activity at the site.

Nodules are unlike malignant lesions that keep on spreading, however, and

they can come and go. Sometimes a patient will detect one on an elbow or

wrist and make an appointment with the doctor, only to discover that the

nodule has receded and perhaps even disappeared by the time the appointment

is kept. Or it can vanish in one place and reappear later in another.

The most likely explanation for these nodules is that they contain fibrous

tissue that forms in a skein around the small lesions where the mycoplasmas

are located. The tisssue is a protective response by the body to contain

the infection and keep it from spreading. If the mycoplasma antigen stops

coming out for some reason, either because the body's defense puts it down

for a while or a medicine suppresses it, then the scar tissue surrounding

the germ is no longer needed and the nodule goes away. The process by which

this occurs is one of natural attrition; cells are periodically replaced,

and if the cause for defense is no longer there, the body will remove the

old cells without sending it new ones. "

For years I had a nodule just below the left elbow that was about two inches

long and a good quarter inch high. Then after starting the AP and going into

the Herxheimer, two nodules appeared on one ear and one on the other. About

19 months into the therapy they all disappeared.

Ethel

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Ether: Are nodules always on a bone or joint? I've had a small one off to the side of my shin, in fleshy part of leg, not right on the shin. It's been there since the beginning when I was really sick with the RA, and my orthopedic dr. (during annual check of my ankle pin & screws) said it was a rheumatoid nodule and there was nothing much to be done about it. It's just that I had thought they occurred on only bones and joints???

Also, my shoulders gives me pain at times, esp. the rt. one. Dr. Trentham said it was most likely that I had some permanent damage due to the RA.

Should I get an X-ray and what could be done about it anyway?

Babs

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  • 1 year later...

on 2/1/03 1:44 PM, Den and Skip, at denandskip@..., wrote:

>

> Skip's weekly IV's have really caused the Rheumatoid nodules to appear on her

> hands and wrists. Here are some pictures if you would like to know what they

> look like. The picture of the outside of her wrist has a cluster of six or

> seven nodules on it. If anyone has any information on nodules please post it.

Denny, my posts to the list aren't coming through very quickly, feel free to

post this yourself to get them to the list faster.

Here are the photos:

<http://www.jeanprobert.com/test/rheumatic/skip.htm>

--

Jean

jpro2@...

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  • 6 months later...

As one who has had several " bumps " removed over the past 10 years...I will

put in my two cents. I go in about every two years and have four or five

things taken off. I let them accummulate and then have a plastic surgeon remove

them. Some of mine are rheumatoid cysts, others are just lumps that seem to

come with age. Once I hit 45....I was like a boat that accummulated barnicles.

Everything has been harmless, I have had nothing biopsied. On the other

hand if you are worried then by all means ask to have it done, it should not be

refused. I have taken care to study cancerous skin lesions as melanomia runs

in my family. There are definite signs for cancer and an experienced

dermatologist or plastic surgeon can spot them quickly.

My lumps tend to appear on my wrist or elbows and are painful when hit or

when I accidently lean on them. None of mine have ever gone away on their

own, but many others have told me theirs did. If they are bothersome....have

them removed!!! Martha

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From The New Arthritis Breakthrough by Henry Scammell - page 149, or page 78

of the first book by Dr. Brown - The Road Back

" NODULES - The Classic Harbinger

The most pronounced and classic symptom of rheumatoid arthritis is the

nodule, which appears at the joints as the first external evidence of

arthritic disfigurement. Because this is so widely recognized for what it

represents, some victims of the disease are actually relieved when the first

rheumatoid nodule appears; now, at last, the patient has something tangible

to take to the doctor. Nodules usually arise at the site of some injury,

such as a sprain or bump, and although it is possible to have one or two

without necessarily having arthritis, it is likely that all such nodules are

the result of disease activity at the site.

Nodules are unlike malignant lesions that keep on spreading, however, and

they can come and go. Sometimes a patient will detect one on an elbow or

wrist and make an appointment with the doctor, only to discover that the

nodule has receded and perhaps has even disappeared by the time the

appointment is kept. Or it can vanish in one place and reappear later in

another.

The most likely explanation for these nodules is that they contain fibrous

tissue that forms in a skein around the small lesions where the mycoplasmas

are located. The tissue is a protective response by the body to contain the

infection and keep it from spreading. If the mycoplasma

antigen stops coming out for some reason, either because the body's defense

puts it down for a while or a medicine suppresses it, then the scar tissue

surrounding the germ is no longer needed and the nodule goes away. The

process by which this occurs is one of natural attrition; cells are

periodically replaced, and if the cause for defense is no longer there, the

body will remove the old cells without sending in new ones. "

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  • 1 year later...

---

Hi ,

I don't have the rheumatoid nodules and I don't know anything about

them-maybe someone else can help you. I just wanted to say that I am

so sorry for you about your work stress with your boss and not being

able to get your Remicade. Stress is not good with our PA or RA. Is

there anyone else you can go to at your work place or a boss or

supervisor that is over your boss? I can't see how you can work. I

will pray for you.

God Bless, Sue in Michigan.

In , " bearsyisalady "

<heatherfitz@r...> wrote:

>

> Hi everyone! I was hoping someone would have some experience with

> rumatoid nodules? I saw my Rheumy today and he said the odd bumps

> on my elbow and behind my knee are rumatoid nodules. They are

> fairly painful (but what isn't these days) and he said they won't

go

> away. He can't remove them because they will grow back. Has

anyone

> else had this?

>

> Also, I finally had to move to narcotic pain relief. I had been

> avoiding it since I am in recovery from alcoholism (7+ years) but I

> just can't get by anymore without it. I am taking one percocet at

> bedtime. I was supposed to start Remicaide but my SOB boss told me

> that if I miss any more work because of my " illness " he will have

to

> let me go. The Remicaide would require me to miss 3 hours a

month.

> Since I am now a single mother I can't afford to take the risk but

> boy am I mad. I think people hear the word " arthritis " and think

> it's not a real big deal. They have no idea what it's like to live

> like this every day. I asked if he could at least move my office

to

> the first floor so I wouldn't have to do the steps and he said no.

> Makes for a wonderful working environment.

>

> Any feedback would be appreciated.

>

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Hi ,

Sorry to hear that your boss is not very understanding or helpful. As we

keep saying here. He needs to suffer this for a while to understand what it is

like. I reckon an hour should do it. What do you think? lol

Hope your pain relief works for you.

Take care,

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  • 3 years later...

Hi,

Are you on antibiotics?

Mine (I only had one) went away after a year on antibiotics.

cooky

_____

From: rheumatic [mailto:rheumatic ] On Behalf

Of Ken

Sent: Thursday, December 13, 2007 6:05 PM

rheumatic

Subject: rheumatic Rheumatoid Nodules

Seasons greetings. I have deveoped a nodule on my right hand above a

knuckle. Please could anyone give advice or share their experience on

thesepesky lumps.

Thanks

Ken.

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Dr. McPherson Brown's explanation of these nodules can be found on

page 149-150 in the book The New Arthritis Breakthrough.

" . . . . The most likely explanation for these nodules is that they contain

fibrous tissue that forms a skein around the small lesions where the

mycoplasmas are located. The tissue is a protective response by the body

to contain the infection and keep it from spreading, If the mycoplasma

antigen stops coming out for some reason, either because the body's defense

puts it down for a while or a medicine suppresses it, then the scar tissue

surrounding the germ is no longer needed and the nodule goes away. The

process by which this occurs is one of natural attrition; cells are

periodically replaced, and if the cause for defense is no longer there, the

body will remove the old cells without sending in new ones. "

I had a large 2 inch long nodule on my elbow, but as treatment progressed,

it went away.

rheumatic Rheumatoid Nodules

> Seasons greetings. I have deveoped a nodule on my right hand above a

> knuckle. Please could anyone give advice or share their experience on

> thesepesky lumps.

>

> Thanks

>

> Ken.

>

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Thank you so much for that relevent and comforting quote you

presented.

Should I do Minocin 100mg 3x a week or the same dose everyday?

Any guidance you can give would be welcome.

Ken

>

> Dr. McPherson Brown's explanation of these nodules can be

found on

> page 149-150 in the book The New Arthritis Breakthrough.

>

> " . . . . The most likely explanation for these nodules is that

they contain

> fibrous tissue that forms a skein around the small lesions where

the

> mycoplasmas are located. The tissue is a protective response by

the body

> to contain the infection and keep it from spreading, If the

mycoplasma

> antigen stops coming out for some reason, either because the body's

defense

> puts it down for a while or a medicine suppresses it, then the scar

tissue

> surrounding the germ is no longer needed and the nodule goes away.

The

> process by which this occurs is one of natural attrition; cells are

> periodically replaced, and if the cause for defense is no longer

there, the

> body will remove the old cells without sending in new ones. "

>

> I had a large 2 inch long nodule on my elbow, but as treatment

progressed,

> it went away.

>

>

> rheumatic Rheumatoid Nodules

>

>

> > Seasons greetings. I have deveoped a nodule on my right hand

above a

> > knuckle. Please could anyone give advice or share their

experience on

> > thesepesky lumps.

> >

> > Thanks

> >

> > Ken.

> >

>

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Ken,

It's my understanding the mycoplasma organisms divide slowly - anywhere from

every 24 to 48 hours, supposedly making it unnecessary to take the

antibiotic daily, and that is what worked for me and has worked for many

other patients. The more of the antibiotic you take the greater your risk

of gut problems, and once that gut gets out of balance - watch out. You

don't want to take any more of the antibiotic than necessary to get the job

done. But we are all unique and what works for one person may not work for

another.

Oral dosages may run anywhere from 100 mg. once a day three times a week to

100 mg. twice daily three times a week. Sometimes patients take 100

mg.every other day. I can remember reading in Dr. Brown's papers how he

would sometimes have the patient take 100 mg Minocin in the morning and 100

mg doxycycline in the evening - M-W-F. Sometimes he rotated the

antibiotics - 6 weeks on one, 6 weeks on another, etc. He often prescribed

Nystatin along with the antibiotic(s). I remember a patient in Minnesota

with very severe RA. She was on the 100 mg three day a week protocol for a

long time but not making progress. It was suggested she increase to 100 mg.

twice daily five days a week to see if she could get a response. It worked.

Eventually she was able to go back to the 100 mg. a day M-W-F routine.

Then this story. A woman in St. Louis with RA was doing very well on the

100 mg. M-W-F protocol when she experienced a horrible flare just as she was

preparing to travel to Virginia to see Dr. Cap Oliver who took over Dr.

Brown's practice when he died. It was suggested she double the dose -

taking 100 mg. in the AM and 100 mg in the PM - which she was reluctant to

do. The drive to Virginia was miserable. She felt badly about her

son-in-law having to carry her up and down stairs, etc. and finally decided

to double the dose. By the third day, the flare was under control.. That

worked for her but may not work for you.

In the MIRA studies the dosage was 100 mg. twice a day seven days a week,

and many doctors now follow that protocol which may explain why so many of

those patients end up with gut problems which then can lead to other

problems. It is so important patients take a sufficient dosage of a good

probiotic when on antibiotics.

I think the FAQ on www.rheumatic.org outlines a protocol where you take the

Minocin/minocycline M-W-F and take Zithromax T-Th and Sat.

Some physicians are now adding an anti-fungal to the protocol.

Ethel

rheumatic Rheumatoid Nodules

>>

>>

>> > Seasons greetings. I have deveoped a nodule on my right hand

> above a

>> > knuckle. Please could anyone give advice or share their

> experience on

>> > thesepesky lumps.

>> >

>> > Thanks

>> >

>> > Ken.

>> >

>>

>

>

>

>

> To unsubscribe, email: rheumatic-unsubscribeegroups

>

>

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  • 1 year later...
Guest guest

Ugh. They are starting. On my fingers and my toes. I see my doctor on Friday and

am wondering if he is going to change my treatment due to these ugly

things....... Is this a sign of disease progression or just a sign of the

disease?

*~ Kami ~*

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Guest guest

Interesting that you mentioned this, Kami. I had a very sore nodule on the

knuckle of my middle finger and while its still there, its not as sore as it was

prior to Enbrel. Woo Hoo - that's a good sign for me (I think)!! I'll be

scrolling down in my email to 's INFO on nodules.

Doreen :)

Ugh. They are starting. On my fingers and my toes. I see my doctor on Friday

and am wondering if he is going to change my treatment due to these ugly

things....... Is this a sign of disease progression or just a sign of the

disease?

*~ Kami ~*

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