STILL'S DISEASE AND RHEUMATOID NODULE OF THE SCLERA*t BY

THE following report concerns a patient suffering from Still's disease who developed a rheumatoid nodule of the sclera and subsequent scleral thinning of the right eye, a finding not previously recorded in the literature. Case Report A woman aged 31 years first developed joint symptoms at the age of 11 years. Stiffness and pain in the joints increased, until within 9 months all her joints were affected. She has undergone numerous orthopaedic operations, including arthroplasty of both elbow joints at the age of 13 years, a right transtrochanteric osteotomy at the age of 15 years, bilateral mandibular condylec-tomies at the age of 16 years, and further arthroplasties of the elbows at the age of 18 years. At present there is gross deformity with limitation of movement in the hands, elbows, shoulders, hips, knees, and ankles. She is undersized and underweight. Nodules are present on the fingers, elbows, and knees. A nodule removed from the scalp proved histologically to be a rheumatoid nodule. There is no lymphadenopathy and no skin rash and the liver and spleen are not palpable. She has been treated with prednisolone for the past 12 years in doses varying from 5 to 12-5 mg. daily