RECOVERY FROM MULTIPLE RHEUMATOID ARTHRITIS COMPLICATED BY AMYLOIDOSIS IN A CHILD

Abstract

An unusual and dangerous complication of rheumatoid arthritis is visceral amyloidosis. We have had the opportunity to study a child who recovered from severe multiple rheumatoid arthritis (Still's disease) complicated by generalized amyloidosis. Because of the paucity of records of similar cases we believe it important to report this case and to review the related literature. REPORT OF CASE R. B., was first admitted to the Mount Sinai Hospital when she was 14 years of age. Her illness dated from November 1935, when, at the age of 11, she entered another hospital complaining of sore throat, vomiting and pain in the joints of one week's duration. Tenderness and stiffness of the joints of the arms and legs were found, but there were no deformities. Therapy included two blood transfusions for mild anemia and removal of hypertrophied diseased tonsils. In the subsequent two years the patient had numerous exacerbations of severe