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Unusual and memorable
Case Number 26: Massive cholesterol crystal deposition: unusual location in rheumatoid arthritis
  1. P V Balint1,
  2. D Kane2,
  3. R D Sturrock2
  1. 13rd Rheumatology Department, National Institute of Rheumatology and Physiotherapy, Budapest, Hungary
  2. 2Centre for Rheumatic Diseases, University Department of Medicine, Glasgow Royal Infirmary, UK
  1. Correspondence to:
    Dr D Kane, Centre for Rheumatic Diseases, University Department of Medicine, Glasgow Royal Infirmary, 10 Alexandra Parade, Glasgow G31 2ER, UK;
    dk44a{at}clinmed.gla.ac.uk

https://doi.org/10.1136/ard.62.6.512

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    A 71 year old white man with seropositive erosive rheumatoid arthritis (RA) for 28 years presented with swelling of the left ankle that had been increasing in size for three years and was now interfering with shoe fitting. On examination a 2.5 cm diameter non-inflamed, well circumscribed, firm mass—initially presumed to be a rheumatoid nodule or tense synovial cyst—was noted on the anteromedial aspect …

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    Footnotes

    • Series editor: Gary D Wright