Ichiki H, Shishido M, Nishiyama S
Department of Internal Medicine, Ehime Prefectural Niihama Hospital.
Nihon Ronen Igakkai Zasshi. 1992 Dec;29(12):960-4. doi: 10.3143/geriatrics.29.960.
Two cases of adult onset of Still's disease is in a 83-year-old and a 61-year-old women. Both cases complained of high fever, arthralgia, sore throat and maculae. Examinations on admission revealed leukocytosis and negative antinuclear antibody. Administration of prednisolone resulted in improvement of the clinical symptoms and laboratory data. In general, the onset of this disease is usually in early adulthood, but in these two cases the onset was at an advanced age. These results suggest that Still's disease of adult onset should be included in the differential diagnosis of fever of unknown origin, if the patient is elderly. In the treatment of the disease, proper attention to side effects of prednisolone and complications can be important.
两例成人斯蒂尔病分别发生在一名83岁和一名61岁的女性身上。两例患者均主诉高热、关节痛、咽痛和皮疹。入院检查显示白细胞增多且抗核抗体阴性。给予泼尼松龙后临床症状和实验室数据有所改善。一般来说，这种疾病通常在成年早期发病，但在这两例中发病年龄较晚。这些结果表明，如果患者为老年人，成人斯蒂尔病应纳入不明原因发热的鉴别诊断中。在该疾病的治疗中，适当关注泼尼松龙的副作用和并发症可能很重要。
