Tamura S, Koreeda T, Nakano T, Hada T, Higashino K
Third Department of Internal Medicine, Hyogo College of Medicine, Nishinomiya, Japan.
Jpn J Med. 1990 Nov-Dec;29(6):611-5. doi: 10.2169/internalmedicine1962.29.611.
A 53-year-old previously healthy woman suddenly developed adult respiratory distress syndrome (ARDS) of unknown etiology. High-dose corticosteroid pulse therapy and artificial ventilation were started immediately and she dramatically responded to the treatment. However, soon after recovery from ARDS, she developed typical rheumatoid arthritis (RA). Although no apparent relationship between RA and ARDS was clear, this case is quite suggestive in the consideration of the etiology of ARDS.
一名53岁既往健康的女性突然患上病因不明的成人呼吸窘迫综合征（ARDS）。立即开始大剂量皮质类固醇冲击疗法和人工通气，她对治疗反应显著。然而，在从ARDS康复后不久，她患上了典型的类风湿关节炎（RA）。虽然RA与ARDS之间没有明显的关系，但该病例在考虑ARDS的病因时颇具启发性。
