Daoud Shadi, Alkhatib Lean, Nimri Aseel, Matarneh Ahmad S
Rheumatology, Royal Medical Services, Amman, JOR.
Internal Medicine, Royal Medical Services, Amman, JOR.
Cureus. 2021 Dec 3;13(12):e20147. doi: 10.7759/cureus.20147. eCollection 2021 Dec.
Adult-onset Still's disease (AOSD) is a rare inflammatory disease that affects multiple organ systems. Efforts have been made to study the course of the illness and possible treatment options. Cardiac tamponade is a rare and life-threatening complication of AOSD that can be the initial presentation of the disease. We report a 34-year-old patient who presented with a picture of cardiac tamponade and underwent emergency pericardiocentesis. Upon further investigations, the diagnosis of AOSD was made based on Yamaguchi criteria. Furthermore, he showed significant improvement following treatment with prednisolone, methotrexate, and tocilizumab. Our case provides evidence that AOSD should be considered in the differential diagnosis of cardiac tamponade and how prompt treatment of AOSD can effectively prevent potentially fatal complications.
成人斯蒂尔病（AOSD）是一种影响多个器官系统的罕见炎症性疾病。人们已努力研究该疾病的病程及可能的治疗方案。心脏压塞是AOSD一种罕见且危及生命的并发症，可为该病的首发表现。我们报告一名34岁患者，其表现为心脏压塞并接受了紧急心包穿刺术。进一步检查后，根据山口标准确诊为AOSD。此外，他在接受泼尼松龙、甲氨蝶呤和托珠单抗治疗后有显著改善。我们的病例证明，在心脏压塞的鉴别诊断中应考虑AOSD，以及AOSD的及时治疗如何能有效预防潜在的致命并发症。
