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Washington University Experience | MISCELLANEOUS | Rheumatoid Nodule - Pachymeningitis - Odontoid subluxation | 3A0 Case 3 History
Case 3 History (AANP Diagnostic slide session 1978, Case 10) ---- The patient was a 67 year old woman with multiple subcutaneous nodules which secondarily became infected. Severe osteoarthritis with multiple compression fractures of the vertebrae, anemia and a peripheral neuropathy were also present. She developed a right sixth nerve palsy and, shortly thereafter, a left sixth nerve palsy, both of which persisted to her death due to pneumonia and a pulmonary embolus. Further information given at the meeting was that the patient had a 7 year history of seropositive rheumatoid arthritis and at autopsy had numerous rheumatoid nodules in the joints and heart valves, as well as in the dura. ---- The specimen shown was obtained from the 6th cranial nerve.
