According to his Doctor, hepatitis from advanced Alcoholism.
His raging alcoholism combined with his pension for smoking (most Russian dancers smoke and drink) did him in. He was a very depressed person who would repress his emotions and would attempt to drown them with booze. And smoke, smoke, smoke his problems out. Because of this, he tragically kicked off at 45.
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Alexander Deuchar died in 1844.
Alexander Skopin died in 2003.
Alexander Sloan died in 1946.
Alexander Forrest died in 1901.
Alexander Williams RHA died in 1930.