F. W. DAVIS JR., M.D.; H. E. MARKLEY, M.D.
Death as a direct complication of rheumatoid arthritis is a distinctly uncommon occurrence, despite the frequency and generalized nature of the disease. Over a 25 year period at the Mayo Clinic, 30 necropsies were performed on cases of rheumatoid arthritis and among these there were no neurologic deaths.1 We have recently had the opportunity of observing a case in which demise was felt to have resulted from compression of the medulla oblongata by the odontoid process. The herniation of this process was secondary to destructive osseous changes of rheumatoid arthritis.
A 58 year old physician's wife was admitted
DAVIS FW, MARKLEY HE. RHEUMATOID ARTHRITIS WITH DEATH FROM MEDULLARY COMPRESSION1. Ann Intern Med. ;35:451–454. doi: 10.7326/0003-4819-35-2-451
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Published: Ann Intern Med. 1951;35(2):451-454.
Rheumatoid Arthritis, Rheumatology.
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