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December 20, 1930


Author Affiliations

From the Department of Medicine, Columbia University College of Physicians and Surgeons, and the Arthritic Clinic of the Presbyterian Hospital. (The Arthritic Clinic of the Presbyterian Hospital is supported by the Faulkner Memorial Fund.)

JAMA. 1930;95(25):1894-1896. doi:10.1001/jama.1930.02720250016004

The occurrence of subcutaneous nodules in patients suffering from rheumatic fever has long been recognized and has been the subject of intensive investigation by many workers. Carey Coombs1 has recently stated that of all manifestations of orthodox rheumatic infection—carditis, polyarthritis, subcutaneous nodules and chorea—the subcutaneous nodule is the most "rheumatic" of all. Swift2 and other investigators have from time to time expressed similar views. Considerably less attention, however, has been paid to the subcutaneous nodules that occur in patients afflicted with rheumatoid arthritis3 notwithstanding the fact that in this disease such a manifestation is an even more striking phenomenon.

One of the oldest and, at the same time, one of the most complete descriptions of these nodules is that given by C. O. Hawthorne4 in a monograph in which he describes the occurrence of subcutaneous nodules in a series of six patients and expresses the opinion

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