Gow P J, Gibson T
Rheumatol Rehabil. 1977 Aug;16(3):155-7. doi: 10.1093/rheumatology/16.3.155.
Two patients with rheumatoid arthritis developed swallowing difficulties. These were mild in one case but severe in the other. Associated pyramidal tract signs and striking upward translocation of the dens made it seem probable that dysphagia was attributable to medullary compression despite the absence of other bulbar features. A history of dysphagia may therefore have serious implications for patients with rheumatoid disease.
两名类风湿性关节炎患者出现吞咽困难。其中一例症状较轻，另一例则较为严重。伴有锥体束征以及枢椎齿状突明显向上移位，这使得尽管没有其他延髓症状，但吞咽困难很可能是由延髓受压所致。因此，吞咽困难病史对于类风湿疾病患者可能具有严重意义。
