Rheumatoid nodules and reflux disease.
On follow-up stroboscopy, the generalized edema had resolved, but several yellow subepithelial nodules were noted on both vocal folds. On further questioning, the patient admitted that she had arthritis in her hands that was severe enough to prevent her from playing her harp. She underwent a rheumatologic evaluation and was found to be positive for antinuclear antibodies (1:320); although her rheumatoid factor was negative, she was placed on hydroxyehloroquine sulfate therapy. She improved dramatically, and the nodules began to resolve.
From the Texas Voice Center, Houston.
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|Title Annotation:||Laryngoscopic Clinic|
|Publication:||Ear, Nose and Throat Journal|
|Article Type:||Brief Article|
|Date:||May 1, 2004|
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