The clinical results for rheumatoid arthritis patients with myelopathy treated without surgery are extremely poor. Surgical treatment is recommended for rheumatoid arthritis patients with myelopathy.

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Carbon tetrachloride (CC1₄) was intraperitoneally injected into Balb/c mice 4 times at biweekly intervals, and the morphological changes of the liver and kidney were examined during 12 weeks after the last injection. The renal injuries progressed in spite of cessation of CC1₄ treatment; microcysts with tubular-cell degeneration were manifest on day 42 after the last injection of CC1₄. At the end of the experiment, however, interstitial fíbrosis with inflammatory cell infiltration was much more prominent. Glomerular changes with IgG deposits also developed following the tubulointerstitial changes. The CC1₄ treatment induced liver damage as well, but it promptly subsided without formation of cirrhosis. The CC1₄ nephrotoxicity was completely inhibited by whole body irradiation (200 rad) exposed at each injection of CC1₄. In contrast, the hepatic damage was not changed by irradiation. These results seem to indicate etiologic independence of renal and hepatic events induced by CC1₄ treatment. It is also suggested that chronic CC1₄ nephrotoxicity is mediated, at least in part, by radiosensitive responses of the mice themselves.

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