Dua Anisha B, Manadan Augustine M, Case John P
University of Chicago Medical Center.
Rush University Medical Center and John H. Stroger, Jr. Hospital of Cook County, USA.
Open Rheumatol J. 2013 Dec 30;7:125-8. doi: 10.2174/1874312901307010125.
Adult-onset Still's disease (AOSD) is a systemic inflammatory disorder characterized by rash, leukocytosis, fevers, and arthralgias. Pulmonary involvement has been reported rarely in AOSD, but acute respiratory distress syndrome (ARDS) is extremely rare and potentially fatal and must be recognized as potential manifestation of underlying AOSD.
We present a case of AOSD manifested by ARDS and review the previously reported cases in Medline/Pub med.
Including this case, 19 cases of AOSD complicated with ARDS have been reported in the literature.
It is important to recognize ARDS as a manifestation of AOSD so that proper diagnostic and therapeutic management can be initiated promptly.
成人斯蒂尔病(AOSD)是一种全身性炎症性疾病,其特征为皮疹、白细胞增多、发热和关节痛。AOSD患者肺部受累的报道很少见,但急性呼吸窘迫综合征(ARDS)极为罕见且可能致命,必须将其视为潜在AOSD的一种表现形式。
我们报告一例以ARDS为表现的AOSD病例,并回顾Medline/Pubmed中先前报道的病例。
包括本病例在内,文献中已报道19例AOSD合并ARDS的病例。
认识到ARDS是AOSD的一种表现形式很重要,这样才能及时启动适当的诊断和治疗管理。