ADULT-ONSET STILLS DISEASE ASSOCIATED TO TOXOPLASMA-GONDII INFECTION

被引:23
作者
BALLEARI, E
CUTOLO, M
ACCARDO, S
机构
[1] Department of Internal Medicine, University of Genova
关键词
ADULT-ONSET STILLS DISEASE; TOXOPLASMOSIS; SERONEGATIVE RHEUMATOID ARTHRITIS;
D O I
10.1007/BF02208701
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Adult-onset Still's disease is characterized by high spiking fever, evanescent maculopapular rash and arthritis. Several recent reports have associated its development with a variety of infectious agents. We describe the case of a 25-year old woman presenting high fever, maculopapular rash and seronegative polyarthritis associated with lymphoadenopathy, splenomegaly and neutrophil leucocytosis together with acute acquired toxoplasmosis. Other causes of systemic illness were excluded by appropriate laboratory, radiological and histological investigations. Clinical, radiological and laboratory findings as well as possible etiopathogenetic correlations among both pathological conditions are discussed. Toxoplasma gondii should be considered as a further possible triggering agent associated with the development of adult-onset Still's disease.
引用
收藏
页码:326 / 327
页数:2
相关论文
共 13 条
[1]  
Bywaters E.G.L., Still's disease in the adult, Ann Rheum Dis, 30, pp. 121-133, (1971)
[2]  
Larson E.B., Adult Still's disease: evaluation of a clinical syndrome and diagnosis, treatment and follow-up of 17 patients, Medicine, 63, pp. 82-91, (1984)
[3]  
Huang S.H.K., De Coteau W.E., Adult-onset Still's disease: an unusual presentation of rubella infection, Can Med Assoc J, 122, pp. 1275-1276, (1980)
[4]  
Gordon S.C., Lauter C.B., Mumps arthritis: unsusual presentation as adult Still's disease, Ann Intern Med, 97, pp. 45-47, (1982)
[5]  
Dold U., Haelbing C.H., Mycoplasmose und Still syndrom, Munchener Med Wochenschr, 123, pp. 1908-1909, (1981)
[6]  
Heaton D.C., Moller P.W., Still's disease associated with Coxsackie infection and haemophagocytic syndrome, Ann Rheum Dis, 44, pp. 341-344, (1985)
[7]  
Colebunders R., Stevens W.J., Vanagt E., Snoeck J., Adult Still's disease caused by Yersinia enterocolitica infection, Arch Intern Med, 144, pp. 1880-1882, (1984)
[8]  
Rahal J.J., Millian S.J., Noriega E.R., Coxsackie virus and adenovirus infection. Association with acute febrile juvenile rheumatoid arthritis, JAMA, 235, pp. 2496-2501, (1976)
[9]  
De Vere-Tyndall A., Bacon T., Parry R., Tyrrell D.A.J., Denman A.M., Ansell B.M., Infection and interferon production in systemic juvenile chronic arthritis: a prospective study, Ann Rheum Dis, 43, pp. 1-7, (1984)
[10]  
Wouters J.M.G., Van der Veen J., Van de Putte L.B.A., De Rooij D.J.R., Adult onset Still's disease and viral infections, Ann Rheum Dis, 47, pp. 764-767, (1988)