Rheumatoid nodule

LEGEND

Necrobiosis is characterized by degeneration of connective tissue, particularly collagen, and the presence of fibrin.

Nodules are located in the deep dermis, near the hypodermis, and may even extend into the hypodermis.

There is an inflammatory infiltrate containing lymphocytes and histiocytes.

  • Palisading histiocytes surround a zone of extensive necrobiosis

Rheumatoid nodule

LEGEND

  • Necrobiosis

  • Normal collagen fibers

Rheumatoid nodule

LEGEND

  • Necrobiosis

  • Low cellularity with loss of fibroblast nuclei and intensely eosinophilic staining of degenerated collagen

  • Palisade surrounding the necrobiosis

Rheumatoid nodule

LEGEND

Nodule located in the deep dermis

  • Hypodermis and large-caliber blood vessels

Rheumatoid necrobiosis nodule

Degenerated collagen with marked eosinophilic staining

Loss of fibroblast nuclei

Rheumatoid nodule – overview