成人斯蒂尔病：一例报告
Adult-Onset Still's Disease: A Case Report.
作者信息
Seung Ong Ping, Sulaiman Wahinuddin
机构信息
Department of Rheumatology, Hospital Raja Permaisuri Bainun, Malaysia.
出版信息
Oman Med J. 2011 Sep;26(5):e022. doi: 10.5001/omj.2011.96.
Abstract
Adult-onset Still's disease (AOSD) is a rare clinical entity with unknown etiology, characterized by arthritis, fever, evanescent rash and other systemic presentations. This report described a 45-year-old male who presented with sore throat, fever, arthritis, evanescent rash, raised liver enzymes and hyperferritinemia. He was diagnosed to have AOSD based on Yamuguchi criteria after the exclusion of other potential diagnoses. The patient partially responded to combined celecoxib and prednisolone. He was also prescribed methotrexate and his symptoms improved.
摘要
成人斯蒂尔病（AOSD）是一种病因不明的罕见临床病症，其特征为关节炎、发热、皮疹及其他全身症状。本报告描述了一名45岁男性，出现咽痛、发热、关节炎、皮疹、肝酶升高和高铁蛋白血症。在排除其他潜在诊断后，根据山口标准诊断为AOSD。患者对塞来昔布和泼尼松龙联合治疗部分有效。还给他开了甲氨蝶呤，症状有所改善。
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