Two Autopsies Cases of Rheumatoid Arthritis

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Clinical observations and pathological autopsies were performed on two cases of three rheumatoid arthritis patients medicated with corticosteroids for long period and finally dead with gastro-intestinal disturbances (hematemesis, bloody stool or ileus-like symtoms).The first case, 45yrs, old female, was dead with ileus like symptoms (abdominal distension, gas retention, pain, obstipation and vomiting), hemorrhagic diathesis and sudden disturbance of consciousness and results of pathology showed subdural hematoma, stenosis of descendant colon, fecal concretion, extensive amyloidosis, aspiration pneumonia, interstitial nephritis and atrophy of suprarenal glands.The second case, 74yrs, old male, was dead with hematemesis and bloody stool and results of pathology showed duodenal ulcer, lung fibrosis, fatty heart, arteriosclerotic atrophy of kidnies, aortic sclerosis, left ventricular hypertrophy, kidney stones and atrophy of suprarenal glands.The third case, 72yrs. old male, was dead with hematemesis and bloody stool, but could not performed autopsy.
西日本整形・災害外科学会の論文

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