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| | Rheumatic Patches |
 | | Look for rheumatic patches in all patients with pain, irrespective of whether the pain is perceived to be in the joints, the muscles, the head or face. |
 | | Because of the abnormal bioelectricity of rheumatic patches, I find it easy to believe that a nerve traversing such a patch of tissue might be inappropriately stimulated, causing either neuralgia or muscle cramp/fasciculation, depending on whether the nerve is sensory or motor. |
 | | Histologically, rheumatic patches show an appearance somewhat reminiscent of scleroderma, in that the markings of collagen bundles become fainter, the distribution of collagen bundles becomes more haphazard, hair follicles and sweat glands are diminished, and there is some infiltration by lymphocytes (6). |
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