Koga T, Tokunaga N, Ichikawa Y, Oizumi K
First Department of Internal Medicine, Kurume University School of Medicine, Japan.
Intern Med. 1992 Dec;31(12):1356-8. doi: 10.2169/internalmedicine.31.1356.
We treated a 72-year-old woman with adult Still's disease. The diagnosis was made on the basis of a prolonged, high grade, quotidian fever, polyarthritis, maculopapular skin rashes and exclusion of other possible diseases. A high serum ferritin value was a key factor both in making the diagnosis and in the follow-up. The patient responded to the administration of oral prednisolone at 30 mg/day, which was tapered to 10 mg/day, with no recurrence of symptoms. This disorder can be an important cause of prolonged fever in the elderly as well as in the younger population.
我们治疗了一名患有成人斯蒂尔病的72岁女性。诊断基于长期的高热、每日发热、多关节炎、斑丘疹皮疹以及排除其他可能的疾病。高血清铁蛋白值是诊断和随访的关键因素。患者对每日30毫克口服泼尼松龙治疗有反应，剂量逐渐减至每日10毫克，症状未复发。这种疾病可能是老年人以及年轻人长期发热的重要原因。
