Rheumatoid nodules

White, fibrous submucosal nodules of the vocal cords. Also called “bamboo nodes.” Rheumatoid nodules in other areas of the body (elbows, knuckles, etc.) are almost always seen with rheumatoid arthritis. They can be seen in the context of other auto-immune disorders and are sometimes seen before that disorder is diagnosed.

Treatment can involve supportive measures, steroid injection of the vocal cords, or—when nodules are large and persistent in spite of systemic management of a diagnosable auto-immune disorder, if any—surgical removal using a technique similar to that used when removing an epidermoid or mucus retention cyst.

Photos of rheumatoid nodules: