[心肌炎——成人斯蒂尔病的首发症状]

[Myocarditis--the first symptom of adult Still's disease].

作者信息

Miczke Anna, Waśniewski Michał, Straburzyńska-Migaj Ewa, Leszczyński Piotr, Ochotny Romuald, Grajek Stefan

机构信息

Klinika Chorób Wewnetrznych, Zaburzeń Metabolicznych i Nadciśnienia Tetniczego, Uniwersytet Medycznyw Poznaniu, ul.Długa 1/2, 61-848 Poznań.

出版信息

Kardiol Pol. 2009 Aug;67(8):884-6.

PMID:19784886

Abstract

Myocardial involvement during the course of adult Still's disease is very rare. We present a case of a 34-year-old man admitted with fever, tachycardia, weakness and chest discomfort. The electrocardiogram showed non-specific diffuse ST-T changes, troponin level was slightly elevated and echocardiography did not reveal any abnormalities. After ruling out other relevant diseases, the adult Still's disease was diagnosed.

摘要

成人斯蒂尔病病程中出现心肌受累的情况非常罕见。我们报告一例34岁男性患者，因发热、心动过速、乏力和胸部不适入院。心电图显示非特异性弥漫性ST-T改变，肌钙蛋白水平略有升高，超声心动图未发现任何异常。在排除其他相关疾病后，诊断为成人斯蒂尔病。