Shibuya Yuko, Matuo Kiyoko, Kawada Takao, Kosugi Takeshi, Gomi Tomoko
Department of Nephrology, NTT Kanto Medical Center, Shinagawa-ku, Tokyo.
Ryumachi. 2003 Jun;43(3):577-82.
We report a case of adult onset Still's disease in a 77 year old man, who was diagnosed as a esophageal cancer 9 months after the onset of this disease. At first malignant lesions in any organs were not found and steroid (prednisolone) therapy was begun and the patient was recovered from manifestations. But while tapering prednisolone to 15 mg, fever, arthritis and rash were observed again. Repeated examination revealed that he had suffered from esophageal cancer. This case is considered as a paraneoplastic syndrome of the esophageal cancer. Patients with adult onset Still's disease should be followed as a paraneoplastic syndrome.
我们报告一例77岁男性成人斯蒂尔病患者，该患者在本病发病9个月后被诊断为食管癌。起初未发现任何器官的恶性病变，遂开始使用类固醇（泼尼松龙）治疗，患者症状得以缓解。但在将泼尼松龙减至15mg时，再次出现发热、关节炎和皮疹。反复检查发现他患有食管癌。该病例被认为是食管癌的副肿瘤综合征。成人斯蒂尔病患者应作为副肿瘤综合征进行随访。
