Shuo Zhang, Guanqun Chao
The First Affiliated Hospital of Zhejiang Chinese Medical University, China.
Intern Med. 2011;50(21):2575-8. doi: 10.2169/internalmedicine.50.6035. Epub 2011 Nov 1.
Crohn's disease (CD) is not rare in recent years, but it is sometimes difficult to make a definite diagnosis particularly if it is in the small intestine. We report a patient with fever for 8 months whose disease was mistaken to be Adult onset Still's disease. The patient was diagnosed small intestine Crohn's disease at last by pathology. We want to emphasize that doctors should not forget small intestine Crohn's disease when encountering an unidentified feverish patient, they should not diagnose a feverish patient of Adult onset Still's disease at once. It is important to note that corticosteroids can conceal many diseases and they should not be considered lightly even if the patient is diagnosed with Adult onset Still's disease.
近年来，克罗恩病（CD）并不罕见，但有时很难做出明确诊断，尤其是在小肠发病时。我们报告了一例发热8个月的患者，其病情曾被误诊为成人斯蒂尔病。该患者最终经病理诊断为小肠克罗恩病。我们想强调的是，医生在遇到不明原因发热的患者时，不应忘记小肠克罗恩病，不应立即将发热患者诊断为成人斯蒂尔病。需要注意的是，糖皮质激素可能会掩盖许多疾病，即使患者被诊断为成人斯蒂尔病，也不应轻易使用。
