Tay Y K, Paz R S, Ng S K, Chng H H
National Skin Centre, Singapore.
Ann Acad Med Singap. 1996 Mar;25(2):296-9.
Adult onset Still's disease is a rare condition presenting with high spiking fever, transient maculopapular rash, myalgias, polyarthralgias or arthritis, lymphadenopathy, hepatosplenomegaly and a sore throat, associated with leucocytosis and neutrophilia. Early diagnosis is difficult because clinical features are non-specific. We report a 33-year-old Chinese female with this condition who presented with recurrent high spiking fever and rash over a 4-month period. We highlight the sequence of events leading to this diagnosis with emphasis on the cutaneous changes.
成人斯蒂尔病是一种罕见疾病，表现为高热、一过性斑丘疹、肌痛、多关节痛或关节炎、淋巴结肿大、肝脾肿大及咽痛，伴有白细胞增多和中性粒细胞增多。早期诊断困难，因为临床特征不具特异性。我们报告一名33岁患有此病的中国女性，她在4个月的时间里反复出现高热和皮疹。我们着重介绍了导致该诊断的一系列事件，并重点关注皮肤变化。
