A 59-year-old black female with rheumatoid arthritis developed diffuse anterior scleritis with orbital and adnexal involvement. Computerized axial tomography (CAT) demonstrated the location and extent of the lesion. Biopsy of subconjunctival tissue revealed a rheumatoid nodule, characterized by granulomatous inflammation and fibrinoid necrosis. The patient improved rapidly on large doses of systemic corticosteroids. The relationship of scleritis to rheumatoid arthirits is discussed. The histopathologic features of rheumatoid scleritis, its appearance on CAT scan, and the management of this disease are also presented.
- computerized axial tomography
- rheumatoid arthritis
- rheumatoid nodule
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