Wendling D, Humbert P, Hory B, Blanc D, Dupond J L, Guidet M
Service de Rhumatologie, Hôpital J-Minjoz; du Service de Médecine Interne.
Rev Rhum Mal Osteoartic. 1989 Mar 15;56(4):325-7.
Renal involvement during Still's disease in the adult is rarely mentioned in the literature. Proteinuria and hematuria are frequently reported during systemic involvement in the disease but, conversely, observations including an anatomical account of the kidney are rare: amyloidosis is mentioned the most often (5 compatible cases), while other cases are more disparate: non specific glomerulitis (4 cases), glomerulonephritis with mesangial deposition of IgA (2 cases), tubulo-interstitial nephritis; these different non specific aspects may correspond to an immune complex disease. The apparent rarity of renal investigations is a factor in marking out Still's disease in the adult from other systemic diseases.
成人斯蒂尔病的肾脏受累情况在文献中鲜有提及。蛋白尿和血尿在该病全身受累时经常被报道，但相反，包括肾脏解剖描述在内的观察却很罕见：最常提及的是淀粉样变性（5例相符病例），而其他病例则更为分散：非特异性肾小球炎（4例）、IgA系膜沉积性肾小球肾炎（2例）、肾小管间质性肾炎；这些不同的非特异性表现可能对应一种免疫复合物疾病。肾脏检查明显少见是将成人斯蒂尔病与其他全身性疾病区分开来的一个因素。
