慢性関節リウマチ，腎障害，片麻痺を呈した78歳女性

A 78-year-old Woman with Rheumatoid Arthritis,Right Hemiparesis,and Renal Failure

症例呈示

　症例　H．S．78歳女性（88-85896）。

　主訴　嚥下障害。

We report a 78-year old woman with 30 years history of rheumatoid arthritis and nephrotic syn-drome, who developed right hemiparesis and renal failure recently.

The patient was diagnosed as having rheumatoid arthritis in 1965, and had been treated with gold -sol, steroid hormone, and non-steroidal anti inflammatory drugs intermittently. Later on her clinical course was complicated by nephrotic syn-drome, however, her renal function was well compensated. Otherwise, she was apparently doing well until October of 1988 when se had an onset of anomie aphasia; she was 73-year-old at that time.