Rheumatoid nodules are firm bumps that develop on the vocal cords in people with rheumatoid arthritis or other autoimmune diseases like lupus. These diseases affect the joints, but can also cause vocal fold inflammation. These nodules usually grow slowly and can cause hoarseness, vocal fatigue, or voice breaks that come and go. Treatment starts with managing the underlying disease through oral medications prescribed by a rheumatologist. In our office, we evaluate the nodule with rigid laryngoscopy and stroboscopy. If needed, we may perform an in-office steroid injection or proceed with surgical removal under general anesthesia if the nodule is large or the nodules stiffens the vocal cord.

Rheumatoid Nodule

Rheumatoid Nodule