Salaffi F, Filosa G, Bugatti L, Maestrini M D
Department of Rheumatology, University of Ancona, Italy.
Clin Rheumatol. 2000;19(5):389-91. doi: 10.1007/s100670070034.
Adult-onset Still's disease (AOSD) is a rare disorder of unknown aetiology, characterised by high spiking fever, an evanescent, erythematous, maculopapular rash, arthralgia or arthritis, lymphadenopathy, hepatosplenomegaly, sore throat and serositis. It is associated with marked leukocytosis, high erythrocyte sedimentation rate, increased level of serum ferritin and negative rheumatoid factor and antinuclear antibody tests. Here we report a patient in whom an urticaria-like rash was an uncommon presenting clinical feature of AOSD. To our knowledge, this association has only been reported once before.
成人斯蒂尔病（AOSD）是一种病因不明的罕见疾病，其特征为高热、一过性红斑丘疹样皮疹、关节痛或关节炎、淋巴结病、肝脾肿大、咽痛和浆膜炎。它与显著的白细胞增多、高红细胞沉降率、血清铁蛋白水平升高以及类风湿因子和抗核抗体检测阴性有关。在此，我们报告一例患者，其荨麻疹样皮疹是AOSD一种不常见的临床特征。据我们所知，这种关联此前仅被报道过一次。
