Oncologists or surgeons may be needed if internal malignancy occurs. Other specialists occasionally are needed if internal organs are involved. The disease can cause considerably morbidity, mainly related to the severe arthritis that can occur. Morbidity or mortality can occur from the underlying malignancy. Since some patients with MRH may have an underlying malignancy, it is important to evaluate for this.
Patients ought to have a least a good review of systems to direct appropriate additional studies.
Rule out other forms of arthritis MRH may be mistaken for other forms of arthritis. Since MRH can be severely mutilating in some cases, the diagnosis should be considered for patients with severe arthritis. Since many other forms of arthritis are often treated in a similar way, missing the diagnosis in early stages may not have serious consequences. Swollen elbow and nodules of MRH on forearm. A review of 33 patients.