Nakagawa Noriharu, Fujii Ai, Ueda Yoshimichi, Yamazaki Masahide
Department of Internal Medicine Keiju Medical Center Nanao Ishikawa Japan.
Department of Nephrology Kanazawa Medical University Kahoku Ishikawa Japan.
Clin Case Rep. 2024 Mar 7;12(3):e8632. doi: 10.1002/ccr3.8632. eCollection 2024 Mar.
The present case indicates that cryoglobulinemia vasculitis should be considered in the differential diagnosis of purpura in patients with adult-onset Still's disease (AOSD).
The presence of purpura is suggested in adult-onset Still's disease (AOSD) hematological complications of hemophagocytic syndrome, disseminated intravascular coagulation, or thrombotic microangiopathy. We herein report a case of AOSD complicated by cryoglobulinemia vasculitis presenting with purpura.
本病例提示,成人斯蒂尔病(AOSD)患者出现紫癜时,鉴别诊断应考虑冷球蛋白血症性血管炎。
成人斯蒂尔病(AOSD)血液系统并发症如噬血细胞综合征、弥散性血管内凝血或血栓性微血管病时,可能出现紫癜。我们在此报告1例AOSD合并冷球蛋白血症性血管炎并出现紫癜的病例。