Rivero Puente A, Sánchez-Alvarez J, Pérez-García C, Acha Arrieta M V, García de Lucas M D, Rivero Marcotegui M
Hospital Virgen del Camino, Departamento Navarro de Salud, Pamplona.
An Med Interna. 1993 Jun;10(6):283-6.
We present two patients with Still's disease which, in addition to the typical clinical manifestations, showed rare visceral alterations. The first case referred abdominal pain and a sustained hyperamilasemia was detected. The second case suffered a severe multiple organic failure, characterized by hepatic failure, with electric signs of encephalopathy, hydroelectrolytic disorder, rhabdomyolysis and disseminated intravascular coagulation. During this episode, we detected hyponatremia, reduction of leukocytes and normalization of GSR, modifications already described by other authors in cases similar to these ones, although without considered relevant until now. We comment these results and their value as markers of visceral affectation.
我们报告了两例斯蒂尔病患者，除了典型的临床表现外，还出现了罕见的内脏改变。第一例患者出现腹痛，并检测到持续性高淀粉酶血症。第二例患者发生了严重的多器官功能衰竭，其特征为肝功能衰竭，伴有脑病的电生理体征、水电解质紊乱、横纹肌溶解和弥散性血管内凝血。在此期间，我们检测到低钠血症、白细胞减少和红细胞沉降率正常化，其他作者在类似病例中也曾描述过这些改变，尽管到目前为止一直未被视为具有相关性。我们对这些结果及其作为内脏受累标志物的价值进行了评论。
