Flatau E, Reichman N, Kaufman N
Dept. of Medicine B, Central Hospital of the Emek, Afula.
Harefuah. 1999 Sep;137(5-6):200-1, 263, 262.
Adult-onset Still's disease (AOSD) is characterized by a spiking fever and diverse clinical findings; the diagnosis is often delayed for months or even years. The only positive laboratory finding is neutrophilic leukocytosis. Since 1987, the diagnostic importance of elevated serum ferritin levels has been discussed in numerous papers, but is not yet among the diagnostic criteria for AOSD. We describe a case in which the finding of extreme hyperferritinemia enabled prompt diagnosis and treatment.
成人斯蒂尔病（AOSD）的特征为高热和多样的临床表现；诊断常常延迟数月甚至数年。唯一阳性的实验室检查结果是中性粒细胞增多。自1987年以来，众多论文都讨论了血清铁蛋白水平升高在诊断中的重要性，但它尚未纳入AOSD的诊断标准。我们描述了一例因发现极高的铁蛋白血症而得以迅速诊断和治疗的病例。
