Strunk J, Strube K, Lange U
Abteilung Rheumatologie der Universität Giessen, Herz- und Rheumazentrum Kerckhoff-Klinik Bad Nauheim.
Internist (Berl). 2003 Nov;44(11):1433-6. doi: 10.1007/s00108-003-1059-5.
We report on a 44 year old woman with fever, cutaneous rash, severe sore throat, arthritis, leukocytosis, splenomegaly and liver dysfunction. After exclusion of an infectious or malignant disease, adult onset Still's disease was diagnosed according to the Yamaguchi criteria. Reduction of the initial treatment with corticosteroids after 4 month caused a relapse of disease. Thus methotrexate treatment was started, which resulted in improvement of symptoms and inflammatory activity.
我们报告了一名44岁女性，她有发热、皮疹、严重咽痛、关节炎、白细胞增多、脾肿大和肝功能障碍。在排除感染性或恶性疾病后，根据山口标准诊断为成人斯蒂尔病。4个月后减少初始皮质类固醇治疗导致疾病复发。因此开始使用甲氨蝶呤治疗，症状和炎症活动得到改善。
