Figure 1: Videolarygoscopic images. (a) Bilateral vocal fold nodules in a 55-year-old woman with change of voice characteristic and globus pharyngeus 2 years ago (the patient has high activity with 15-year duration). (b) Rheumatoid bamboo nodules in a 44-year-old female patient with RA for 4 years and of moderate activity. (c) A 61-year-old female patient with 30 years of RA duration and in remission, demonstrating posterior laryngitis, arytenoids congestion, and bilateral early vocal fold nodules. RA, rheumatoid arthritis.