An elderly black man had an unusual manifestation of severe rheumatoid disease. Thus far, five years since the onset of disease, he has experienced no serious joint involvement and yet has had multiple subcutaneous rheumatoid nodules, bilateral rheumatoid pleuritis with effusion, nodular scleritis, and high titer of rheumatoid factor.
(JAMA 228:338-339, 1974)
Ganda OP, Caplan HI. Rheumatoid Disease Without Joint Involvement. JAMA. 1974;228(3):338–339. doi:10.1001/jama.1974.03230280040031
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