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Nodules do not hurt but now I have swelling going toward the back of my elbow and that area hurts when pushed and a large vein is coming down to that area. Any ideas what this is? Thank you.

December 28, 2025
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myRAteam

Can a rheumatoid factor of 24 confirm RA?

A rheumatoid factor (RF) level can help doctors diagnose RA, but it's not the only factor they consider. Most people with RA have elevated RF in their blood tests, and higher levels may indicate more severe disease. However, RF alone doesn't confirm RA—your doctor will also look at Show Full Answer

Can a rheumatoid factor of 24 confirm RA?

A rheumatoid factor (RF) level can help doctors diagnose RA, but it's not the only factor they consider. Most people with RA have elevated RF in their blood tests, and higher levels may indicate more severe disease. However, RF alone doesn't confirm RA—your doctor will also look at your symptoms, physical exam findings, other blood tests (like anti-CCP antibodies), and imaging results.

The fact that your RF has remained relatively stable (24 to 23) over a year is useful information for your rheumatologist to track your condition. About your nodules and new symptoms:

Rheumatoid nodules are firm lumps that develop in about 25-40% of people with RA, especially those who test positive for RF. They typically form under the skin at pressure points like elbows, forearms, and fingers, and usually don't cause pain.

However, the new swelling near your elbow that hurts when pushed is concerning and needs medical attention. While nodules themselves are usually painless, they can become infected or inflamed, which would cause pain and swelling. Nodules that connect with tissues underneath can also become sensitive.

You should contact your rheumatologist or healthcare provider soon to examine this area, especially since you're experiencing new pain and swelling. They may need to check for infection or other complications that require treatment.

December 28, 2025
A myRAteam Member

Hi Jackie,
The AI has hit the very important issue that the swollen area needs to be checked asap. If your doctor cannot see you in person right now, in office, take a picture of the area and send it to them,then do a telemed appt to discuss this. It could also be caused as a reaction to the med(s) you are taking. The only time I have ever had nodules show up, was when I was taking Methotrexate. Once I stopped taking that med the nodules went away.
Also, if the doctor is still putting off an in office visit or a telemed, please go to the ER or Urgent Care to have that swollen area checked.
Please give us an update.
Sending prayers for the very best outcome.

December 28, 2025

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