ADULT-ONSET STILLS DISEASE WITH SUBMASSIVE HEPATIC-NECROSIS

被引：19

作者：

TAKAMI, A

NAKANO, S

MIYAMORI, H

OOI, M

MACHI, T

CHUJO, T

NAKAZAWA, T

SAITO, Y

KANNO, M

MATSUDA, T

KITAGAWA, S

机构：

[1] Departments of Medicine, Kenju General Hospital, Ishikawa

[2] Third Department of Medicine, Kanazawa University School of Medicine, Isshikawa

[3] First Department of Pathology, Kanazawa University School of Medicine, Isshikawa

[4] Departments of Surgery, Keiju General Hospital, Isshikawa

来源：

INTERNAL MEDICINE | 1995年 / 34卷 / 02期

关键词：

FEVER OF UNKNOWN ORIGIN; LIVER DYSFUNCTION; PIECEMEAL NECROSIS; LYMPHADENOPATHY; CORTICOSTEROID THERAPY;

D O I：

10.2169/internalmedicine.34.89

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

We present a 74-year old woman who was hospitalized because of typical spiking fever, evanescent rash, polyarthralgia, lymphadenopathy, and marked elevation of serum transaminases and lactate dehydrogenase (LDH) due to adult-onset Still's disease (AOSD) with submassive hepatic necrosis. All of the symptoms and abnormal laboratory findings were dramatically improved after treatment with prednisolone. The clinical course of this patient indicates that AOSD with severe hepatic necrosis can successfully be treated with early administration of corticosteroid, although it remains unknown whether the disease can remain in remission with no or minimal treatment.

引用

页码：89 / 91

页数：3

共 13 条

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