McPeake J R, Hirst W J, Brind A M, Williams R
Institute of Liver Studies, King's College Hospital, London, England.
J Med Virol. 1993 Feb;39(2):173-5. doi: 10.1002/jmv.1890390216.
A 20-year-old female with Still's disease who had contracted hepatitis A became critically ill 2 weeks after the onset of jaundice with pancytopenia, coagulopathy, deteriorating liver function tests, and hepatomegaly. The diagnosis of virus-associated haemophagocytic lymphohistiocytosis was made, and she improved slowly after supportive treatment with parenteral steroids and immunoglobulin. Twelve years earlier, at the onset of her arthritis, she had suffered a similar episode of haemophagocytic lymphohistiocytosis in association with Epstein-Barr virus infection.
一名患有斯蒂尔病的20岁女性感染了甲型肝炎,黄疸出现2周后病情危重,出现全血细胞减少、凝血功能障碍、肝功能检查结果恶化及肝肿大。诊断为病毒相关性噬血细胞性淋巴组织细胞增生症,经肠外类固醇和免疫球蛋白支持治疗后病情缓慢好转。12年前,在关节炎发病时,她曾因感染爱泼斯坦-巴尔病毒而出现类似的噬血细胞性淋巴组织细胞增生症发作。